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Or,c 21 OS 03: Z6p P' 1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMlT SERVI�ES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> a�y c.��r��n.4� �i <br /> Gf L� <br /> PROJECT ADDRESS � �'1fZ�S <br /> �`l�/ <br /> ��,��c��,��a� � ..3�� N,_,��,����r �r 4��� s ���, <br /> . Owner fw;all Addrese GW Sta0a7Jp Phone <br /> Tenant � � Mall AQOross Cid State.?Jp y��ona <br /> ��'(r�rrur�v,� Sl�' 3G6r Fl��'h�Tr �4v •�N 9��0 � �yu�� <br /> Electricel ConVactor Mall Addf058 Clty Ste2Zp Phon� <br /> �Yc.�4 tis's ��z Li° <br /> State lieense Number ConVact Pdce oF Work <br /> JFGL ' - <br /> Proposed Uae of Bullding Contad Porson (Plan Revlaw) <br /> Descriptlon of Workt�Be Oone: �d�td /L �L� L�,�/N�Co ,�a4a�k �� <br /> 7� rLt t6'G 12k:-w r,/L�r <br /> N07E: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> eE IN RACEWAYS, MC OR AC CA6LE. ��a� <br /> � <br /> i <br /> I, CITY OF EVERETT 60CAL SALE57AX GODE IS 3106 <br /> !hereby certily fhat 1 hevo reed and examined thfs eppllcedon end know ihe same ro be true end <br /> ccrroeC A!1 provlslons of fmvs end ordinanC9s Doveming th�s fype of wak�vll1 be complefad <br /> whether spec7led he�eln ornoL The p�entlnp of e permd does not nrosume to gN9 auUlortq�lo <br /> vlo/ateorcancalthe provlsfonsoleny0thersfafoorlocallawroDulednpeonsWctlonorthe � <br /> peAormence ol constrvcUon. fiat!am outhodzed by the owner a/thls propeiry ro pedorm the <br /> worir kr whlch appNceNon!S made and 1 Comply wIN the State Cartraofors Law 18.27 RCW and <br /> 296.200 WAC. <br /> f���t.-i—'" /o /.�/�� �� � <br /> ��ipnaWro �ih� � <br /> :� �� <br />