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U!1 '90 :'.O1° I;f::G P:1S �7:S:i:t:4:i78:i0 1':ARV�FI.I, h:I.liC1Rl�. u�.uU_ Uu_ <br /> E,LECTRICAL PER�IIT A�PLI�ATfON <br /> CITY OF EVERETT PE�tMIT SERVICES /� <br /> 32G0 CEDAR STREET, EVERETT, WA98201 -/ �a,� '�Z <br /> 425-257-8810 - FPJ( 425-257-8857 - www.everettwa.org �y�C J/07 <br /> APPLICATIONS ARE ACCEPTED fROM 8 AM TO 4 PM <br /> ,t_, 10 "'C)fn N o �l Y D R_ <br /> rtcJJECT ADDRESS I <br /> c�Zs� ,r3 z.� o <br /> � P�4TTLE P�� iFt (� n�5 i2lJ �uZ� F2F^-rN1h�� �,�„$- � '].Oc� <br /> lhmor Mall Address Ciry EJE� S�, State2ip q g Z�y Phono <br /> Tenant MallO.ddress City S�afe/Zlp ?h00B <br /> L�;r ��S' 7�'C� <br /> ��vEns�F�_l ��.Fc � n �L �.�L. �IOI�.��L�� �,-.nicf �1�E�lEnIC �tJ.t f L��i_ <br /> Eleclrica�Contrac�of Mall Address Gty State2ip Phone <br /> V�1��.cl����7f3M l� / �c— �" <br /> S�ato l.icanse Number Contract Prlce of Work <br /> S �=2 <br /> Proposed Use ot Buildinc� Contact Porson (Plan Revlew) <br /> DescripUon of Work to Be Done: L� e<�,a c e._ U.vn g ir G n rl ! Z T�MP �O�7LrC1, V V� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO ' FEE <br /> BE IN RACEWAYS, MC ORAC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> ���� 1� _ � �� <br /> I hereby certily that I havo iaad and oxamined th/s applicetlon end krow tho sama to be truo and '� <br /> cong�t. AU provisions o/laws and urdinancos poverNng this type o/work will be complafed <br /> whothor spocified hemin or not. The grantin�ol a permit does nof prosume fo givo autbonty fo <br /> vlolato or concel lhe provislons o/any other state or local law re�u/ating constructlon or fho <br /> performance c/constructior. Thaf 1 em authonzed by the owner o/fhis property to poAorm the <br /> work lor which opplicatlon Is ma a d/compfy wlth the Stale Confractors Law 18.27 RCW and <br /> 296. 00 WAC. <br /> � <br /> .«.t�",� � � 1p1�— <br /> Si�nature Dato <br /> � - — <br /> i;v' <br /> -�C+,�, r_.._ �"'�li <br /> -- — �. : z �v7°" " ,. '^�. .�� '� <br /> ,�,y,,� +� 4 � �,��qy <br /> �-�-i�Y= _ .�.42•�yiri��3�9,�„„� r '.'�y�Y,��..�•yr�H . , '�-��«`�7 <br /> a <br /> �wJ.aN��^�-.:'- "`'.�M ...,_�� "5,::.'.. ' 'r..'.`� <br />