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ELECTRICAL PERIhAIT APPLI(�ATION <br />�ITY OF EVERETT PERMIT <br />SERVIC►c5 <br />3200 CEDAR STREET, EVERETI', WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />�44 CLU Fvaraft Mall WaK <br />PROJECT ADDRESS <br />Hwan.�gpo Jeoiig H& Hyeor� Mi - 1201 I NE 100th St - Kirkland WE! 98033 _ <br />Owner Mail Address Ciry Slale2ip Phone <br />�c ^_ e��•:�� 333 SW Everett Mall Way F�p•ptt_ uJn gg�pg <br />i o �a� �,o — <br />Tenan[ Mail Address City Stale/Zip Phone <br />1ps;nT ia Sipn [nc PO BOX 2849 Rer�ton WA 98056 425-917-2109 <br />EleCtricalContractor MailP.ddress Cily StatelZip Phone <br />rrsc�r.�[05515 <br />State License Number <br />76 Gas Station Steven Thomson <br />Proposed Uss of Building Contact <br />5600 �� <br />ConVect Price of Work <br />Person (Plan Review) <br />Description of Wr.k to Be Done: H001� i1eW C8110�V_y'�]�aI1� +^ pV+�ting p�ar.frirai r.irr.��itc. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />read and examined this application and know fhe <br />ws and ordinances goveminq this type o( wurk w <br />�noL Thegrantingofapermd.doesnotpresume <br />ct�.,,.�,. : �.,�.�,..�.� 9/19/08 <br />Signature Date <br />!u be true and <br />�mpleted <br />i aufhonfv fo <br />and <br />FEE <br />