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Nov-20-09 05:11P <br />P.O1 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 FAX 425-257-8857 - VA'AV everethva.org // - ;)3-0 9 <br />APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM L o9 // _J4/ y <br />�a2.1 b V x —L11 r <br />PROJECT ADDRESS <br />t/Zf <br />LDNA1& r�Uy1 Cco�y�1 1_Z ti f <br />UWller Mall Address COY Slnl?2;P Phono <br />Tenant <br />Mall Address <br />Electrical Contractor l0ail Addiess <br />Slnto LICenSn NUI11Uer ` <br />Proposed Use of Building <br />C�tY SC+terZiV F'honc <br />yes <br />ON Slalallip F'hnne <br />Contract Prim of Work <br />Contact Person (Plan Reviev;) <br />Doscriptinn of Work to Dn Done: /�7_ IF-u _e/j yLL ��C�Si j (. /T l f? -,-_ <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 />y certify that I havo tend and examined this <br />. All piovisiotlS of laws and ordhiances gov <br />v spocir/ed herein or not Tho granting of a <br />or cancel the provisions of any other state c <br />lance or C01151nictiou. That 1 am authod/ed <br />q; wltich application Is made and I cornaly wi <br />and know tho same to be Ituo and <br />ype of work will he completed <br />r 001 -psutne to give sulhonty to <br />rou/e glingconstructiorrorthe _ <br />me (�onllncrors LOW 16.27 RCIVand <br />FEE <br />