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11/29/2��6 11:17 4255622666 LANDEP. ELECTF.IC PAGE �1/�1 <br />ELECTRI�A� PERMIT A,PPLICATlOIV <br />CITY OF EVERE7T PERMIT SERVICES <br />3200 CF.DqR STREET, EVERE'TT, WA 98201 <br />425-257-881 fi - FAX 425-257-8857 — wwv+,everettwa.org �� � a�� 0 6 <br />ApPLICA710NS ARE ACCCpTED FROM 8 AM TO 4 PM C O�7 I I� I�iQ <br />5620 �owpl <br />PROJcCT ADDRE3S <br />�J U�II MG ��16Pj <br />ow�a� <br />N / J� <br />Tenant <br />(�d. <br />5620 �o�v�lt <br />b1a11 Addroyy <br />Mall Addross <br />�qn�er El�c.triL 1335� N�• 16•+►� <br />ElocUiCelConlraclor MallAddreea <br />�AN���S99iBc <br />SlElle Liconsp NUmber <br />�nq�� �qn��l e , <br />P'mpo d Use of Building <br />1 <br />Oosc�lpllon of Wa�ic �o Be Dono: (\ L� PL q C P/ � <br />NOTE: WIRING IN NON-pWELLINGS fS REQUIRED TO <br />8E IN RACEWAYS, MC OR AC C,4BLE. <br />�v2rett <br />-------� <br />Cily <br />Clly <br />fi� 6e�le�u <br />CNy <br />� N� <br />lN�- `j B20 � <br />Slnte/Zip <br />Slalo2lp <br />w� . 9 g <br />SlelalZlp <br />'h�5-353-65�� <br />Phone <br />Phone <br />.�-���� <br />Phono <br />i g oo, a o <br />Contract Prico of Work <br />�c�,� t _n P� �fi m�n <br />Canlact Por n (Plan ftaview) <br />meteh�� (� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 noroby ceAi/ylhat I have read snd examined (his applicallon ard know fha samo fo be frua and <br />correct An provlslons ol laws and ordMances goveminp fids typo o/work wlll be completed <br />r+hufhor specr6ed heroin or not Tho granting of n permd doos not prasumo to givo aufNonty fo <br />�;ola(o or cancel the provisions o(any ofhor stato or local �a�v rogulafing consfruction or the <br />nerlormnnco of consfnict/on. Thaf 1 am atrthonznd by fhe owner of fhis praperty to perform tho <br />lvork (or tvlllCh Ppplicafioq i5 f]iBd6 £i�d I comply With OIB Sfafe Coqf�acfors Low 18.27 RCW and <br />2sG200 WAC. <br />Gt�l t1-29- ob <br />FEE � <br />35 00 <br />