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Mar 15 0? 12:38p <br />p.l <br />1 <br />ELECTRICAL PERIOIIIT APPLICATION <br />GITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR S7REE7, EVERETT, WA 98201 3� I S'-� 7 <br />425-257-8810 - FAX 425-257-8857 -www.everettwa.org L O)� �-� � <br />APpLiCATIONS ARE ACCEp7�D F120M 8 AM 70 4 PM <br />?`�03 / ��.6. C���.���� <br />PROJEC7 ADDRESS <br />os fi [3,�} � <br />Addroaa <br />Tenant Mall Addrasa <br />�r�.�.�,►�,�� �ns 3�a, �U � <br />ElecVlcel Contracto� , Mall Atldroav � � � <br />ft �'L.� N�r / �/� C. -�L <br />Stnte Lic�nea Num6er � <br />(' �h <br />Propospd U9� of �ulldlnp . ' � <br />City <br />Gly <br />Clty <br />� ��� <br />^ <br />StnteZp <br />SWte21p <br />Stnte/Zlp <br />Y2s <br />�S�(� <br />Phone <br />�� Phone <br />� �� <br />Phone <br />Contrnct Prlce of Work <br />Contact Porson (Plan Revlew) <br />Descrip0on of WOHc to 8e Done: (rt ,�On .�G � il1 /�C_ �dt'J!/L/ UG <br />NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO <br />�E IN RACEWAYS, MC OR AC CABI.E, <br />:ITV OF EV[RC-TT LOGAL SALCS TAX CODE IS 3105 <br />' hnrebvi cerllfv fhet ! have road and examined fhls en�llc, <br />� <br />ie seme to be frue and <br />w!H Ge completed <br />�o fo glva authodry fo <br />�n,'��cd,�n orfhe <br />�per., IoperfoRnthe <br />r Law �8.27 RCW and <br />FEE <br />�S �� <br />