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Mar 28 2U08 8: 21RM RL� ELECTRIC 2063645333 P• 2 <br /> ELECTRICAL PERIUIIT APPLICATION <br /> CITY OF EVERETT PEFFIIMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, �VA 982U'i <br /> 425-257-8810 - FAX 425-257-8857—www.evereth•,�a.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1�n\� E���9xc�•c �,,oti.� <br /> � <br /> PROJECT AUDRE <br /> �� �iK��\F1L1cc�n�t� �`9�1 ��s�Yl�t�SX�Y�'1'`�X2�1.'<�.���3 ���18.� <br /> Ownar MaIIP,ddrusa City StaleRip Phane <br /> � <br /> Tenant MallAddress Cly SletdZlp Phona <br /> �L`L'�'�SL}�`�.rC Z�SZ !�����. �►3C�c�1.a� �n�Q►���� ?hw�,��`�yV <br /> 6ecVical C,onrrodor Mall Addross Ciy StatdZip Phona <br /> �tl�rc\C��6�oOf.1 �7 t1� - <br /> Stale Licenne Number Contrad Price of Work <br /> Proposed Uee of Bullding Contaa Person (Plan Review) <br /> Description of Work to Be Done: �C�C1RC4 \����� <br /> NOTE WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � <br /> 1 hcreb;•certiry(hat f have raad and exemined fhfs application and know the seme to be buo and <br /> conect. A!1 provisions oflaH�s and ordinances goveming this type ol wak will be completed <br /> whetharspocified heroln ornot. The granting of a permd does not prosume to gi�re aufho�fry to <br /> vidato orcancel thep rovislons orany oMerstste or bcaf law regula6hg constructron or the <br /> perlormance ot constructlon. That 1 am authoraed 6y tha ow�nor of thtsp roperty to perform!he <br /> wak/orwhich eppllcofion is mede and 1 comply with the Slafe Confracfors Law 18.27 RCW and <br /> 296.200 WAC. <br /> �� �C� I <br /> i � , <br /> U - � <br /> Signature Owte � � <br />