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� <br /> 10/27/2��5 14: 06 3608050287 1�1iL�:� ELECTF'I�_ _1::. pqrE �9-� <br /> I <br /> �LECTRIGAL PERMIT APPUCATI�N � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE7T, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everethva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� ��g�� <br /> � � S��CVL�/1�� �Q!( I��a� <br /> PROJECT ADDRESS <br /> ��*� oa �vE4�'TT, <br /> �c,��r� -��rMn_.,_,��r _3ro�,�s, __F�E -�c�-�- �,� Q8� <br /> Q�e� Mall Adtiresa <br /> �IT� 6F'EN�(LC7"i"— ��h' Slate2ip Phone <br /> xv t4� i�t' �a fNGI � ` � / <br /> FmFo .�P �'rn.. /��/_S_�E¢.. A Wa� C✓E�T7' LVQ �� <br /> 7enant MallAddresc Ciry Slaia2p �hone <br /> � f ��8 3 <br /> M��L�-��c ,�_ �7zs� -N��F /'�'n�a�� k!d �212 `1`R <br /> ( EleGtricalConiractor MallAddrea.s� Gty Stnfe2lD Phone <br /> l'11_i�.lE� �i P� ���, �gb � <br /> Sta�e License Num6er Contract Price of Work <br /> �C�IGG� �n�m�oi/�n <br /> Propcsed Use ol Bu Iding Contact Person (Plan Revlew) <br /> Description o`Workto Be Done: /��./qN'i' 1 M��Jerh gtir�c5 �T,����-�,pi� �YJY�pti <br /> � o� 04 1 Qan+�f P_ 7]2.�a]�FD2M�lL� - <br /> �-- <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> B� IN RACEWqYS, MC OR AC CABLE. <br /> CI7Y OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> � 1 hereby certlfy(hst f have repd and examined this appficslion and know tha same to be troe and <br /> cor,ect. AJI provisions or lawa end ordinances gowmrng this type o/work tvil�be complefed <br /> whelher specifiod h.erofn nr net. The granUng of o permr!does nof presume ro giva aufRorYty fo <br /> violafeorcanceRhe provisionsofanyotherslateoNocaltawreoulalfngconst�wbonor(he <br /> peAomtanco of consiniclfon. That 1 am au}honzed by the owne'r ol fhk propsrty ro perform the <br /> work!or k�h�Gr app�ieo!!en is mane and 1 comply H�ith!he State Contrecrors Caw 18.27 RCW ond <br /> 298.200 V✓AC <br /> _ ���.���� ��.�f <br /> � AM �O�P�ZOO � <br /> � Signature ���-�T Dat <br /> — � I <br /> C-- '���L. ' / <br />