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0?./06/2013 nEo 10:J6 r�x 77077�55�? Rogere electric <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVER�TT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-a810 - FAX425-257-8857—www.everettwa.org a--%—�3 <br />APPIICATIONS ARE ACC�pTEq FROM 8 AM TO 6 PM <br />51h Sf�i ��IOK.F�� IMtzl� <br />PROJECTADDRESS�S'tDY.L N� Z`I � <br />��'bvU� �.,_. . , . � ,. ,c <br />Owner <br />Tenanl <br />Eledrical <br />Mall Mdmss <br />Mall Addraea <br />im L Q�ra l, <br />Mall fWdr000 <br />�c �� n� �.��a�co �sl <br />Stale Licanse Numbar <br />l� r�w�.wux�� �� �( _ <br />Pro�sed Use of Building <br />Square Foolaga (It rasidanlial naw constructlon, remodal or eddilion) <br />DeBcriplion of Wo�1c to Be Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALE6 TAX CO�E IB 3106 <br />/ hnw road <br />Cily <br />CIty <br />Stnta2lp <br />91ele/Zlp <br />aoaaioi3 <br />C�SO 2 —03 Z <br />��0'�� <br />Phane <br />Phonfl <br />Ph n <br />�a0-� `�6� <br />�s�v <br />Conlract Prlco af Work <br />f'a i St�Y <br />ntect Porson (Plon fioviaw) <br />know fAe same to be tn�e and <br />af work wlll eo complofod <br />oresume to aive autho�tv !o <br />Fr:e <br />� (,p�•UU <br />��J�L� �%Z <br />