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FEe�-26-cUGJ9 22:04 Fron:: Tu�2�78R57 Paee: l�l <br /> '\ <br /> E�l..'�C�'RICAL P'ERMIT' AP'PLlCA�'f�ON ..�, <br /> ` C17Y OF F_V�R�TT PERMIT S�RVICES G <br /> 32U0 CLn,;R STREET, EV�RErf, WA 8a2Ut � ��7�� / <br /> 425-257-8810 - FAX 425-257-�857—www.everettwa.org C o50 Z`�� <br /> . <br /> • APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> I i aa ���s���P� <br /> PROJECT/10DRESS <br /> 1 <br /> 1,}�-,�,;. <br /> Owner ^ MallAddfC.S City SIaIe�Zlp �� ��one <br /> �u.��n ��c�Ws rl �>>a � u����- ������- Uh�- �2�i .�rs-���s <br /> Tenani M�II Atltlress City SWlelZip Phore <br /> �� o� I'G�U�i(�, ���I �.C�.�i�or�trcc �� F'U r.2fl" , Wk c"�20 % <br /> Eleclfical CoNraclor tAall nddmss City Sta�elZip Pnonc <br /> �oN 1 i��9�/� D '7 � I � , 03 z <br /> Stata License Number Conlract Price of Work <br /> �f�..�C)u�� � l��' C� �{�,n ��'1�Lt.)a��fJ' <br /> Propocetl Use of Buildin� Coi�aq Person (Plan Review) <br /> Dest�iplion of Work to 9e Donc: �yW UO l ��C ,�'C.�.I�I�S � .� _ <br /> � <br /> Cc�n fr rr � <br /> '� - n _e�_���ve '� n�� ►-�.,1d�r�� 4Vl�b� I � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RAC[WAYS, MC OR AC CABLE. <br /> CITY OP EVERETT LOCAL SALES TAX CpOE IS 7105 � ` -- <br /> i I horeGy cuAJy prat 1 havo road nnd exnmined fhis ap�licotron pnd Icnow fhe sama to bo huo and �����'�� F 1�=-� <br /> corrr.ct. dll prows�ons o�laws and.ordmancos govemmg this rype olwoik will be enmpfeted <br /> � u-hofho�spocibod horain or noL The yranGng ol a pormd doos nof resume fo givy aulhonty to <br /> violale or conccl fhd provisions o!any othor sfafe o��ocal�aw ioguPafing const�uaron or tho <br /> pe�Iermance o(consf�uclion. Thnt 1 a�n authorizod by fhe owner of fhis property fo paAam lhe <br /> I noik lor nhich app�ication rs mada antl l con;pty with the Stalu Cont�acfors Law 1827 RCw ond <br /> zd62n nc. <br /> ��Q�� 2-2 � --d <br /> , <br /> � S n�luro Uale <br /> ' �a� - � C �� aSyz <br />