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Dec 20 07 02: 21p P• Z <br /> . <br /> ELECTRIC�:L PERMIT APPLICA7EOP1 <br /> CITY OF EVERETT PERMfT SERVICES <br /> 3200 CflDAR STREBT, EVERE77,WA 98?.01 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa,org <br /> APPLICA710NS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> a �.22 Ce4J�d� , '�3 a,Z <br /> PROJECT ADDRESS <br /> Ownar Ma!I Aadrc�s Gty S4teft7P' �� PhMs <br /> ,,,.+1-��`E �ur�soea �t�� s z�i�. coLm� a��� � 9e�zQ# �� y��'S <br /> 7enant � MallAddroec � Gry 3nu2ip y2f Phone <br /> �i�t_..d.n,er.x 1R� �l.�g1_ �f/ �V' . rEV • ��,r�c�r z.l`I 2/(�1 <br /> Eleadcaieoowefor MallAddrose qry State?Jp Phone <br /> r <br /> E',� L� .0 �l /5/,�' � �,/.�c�b o ' <br /> State Llcons Numbor ConVad Pdce of Work <br /> �oM M <br /> Proposetl Use of 8uildinp Cantact Person (Rlan ReNew) <br /> Deserlpqon of Workto Bo Done: /hJ ci [�LKG�"' ,I�j� tH.4�l. /�,�'/Jfdp,�/ <br /> /1'L01//f .Y. �C` 1L+1-4° �,G'37� � <br /> NO7E: WIRING IN NON•DWELLINGS IS REDUIRED TO FEE <br /> BE IN RACEWAYS, Y1C OR AC CABLE. S^ <br /> ,, � . �� <br /> CITY OF EVERETT IOCAL SAL�S TAX CODE IS 3?US <br /> !hereA ceMHy that!heve rc;t)e�d exemined fhis.eppllcOGon end know ihe same fo 6e troe and <br /> cwfecr An provJslans oflew nd ortY/nanccs poveming thls[vpe o(�vork wiU De complotod <br /> whefher spedl/ed Aareln or noc The gmntlnp ol a pelmd doef not Aresume to yfve eutnoNty fo <br /> vlo/aieo�cance�t�e aroNs!ons0laqyOihlfStefBOrIOCE!(Owropulat7nQco�sLUCNOn0�Ih9" <br /> pertomtence of ccostrucUon. Th,at I am outhoNmd by the owrrer of ihis properfy�o poAorm!ha <br /> worfr fai whlch appibeGon Is mada ond 1 compty wifh the Sta2e Contractors Law t8,27 RCW and <br /> 296.200 WAC. <br /> � �G�� /�GfG� �� I 7 <br /> �SrnaNro +�e � . . . - . <br /> �I� <br />