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DEC-il-c0�6 07:20R FROM:PROFESSIONpL ELECTRI 360 435 1182 T0:4252578857 P.1 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <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 />S3// �d. ��ti / ,�.1 .U� �� �e <br />PROJECT ADDRESS <br />jm �<'e�ss S"3// c.i Ni;l.E.,�.l L7ii�e ,�oe•�` C./.4 S��v3 <br />Ownor Mall Addross City Slato2lp Phone <br />Tenant <br />Mall Addrass <br />Clty <br />Slata/Zlp Phono <br />3 6 c. <br />r'i��ss,b„� i �i����, � r..� NoQ ����� ���.,4� ��.� 9ra�� N�.� =6�,-z <br />Electrlcal Contruclor htall AdCress Clry Stato/Zlp Phone <br />lj.+�0 %'� E�Id 7 �7 .C/� <br />Stato Llconso Num6or <br />��5,��.��e <br />roposed Uso ol Building <br />Contrect Piico of Work <br />Conlact Person (Plan Rovlow) <br />Daer.ripiion ot Work to Bo Dono: _��F c'�✓� ra � (�j, �..o<, p� /`i"no o c��^��'al <br />6l'el/'Ooir .� ��,o ��c e c�cl �C �a�i� n an�,� L,�i %�ti r� nG <br />/D f� l rr�si�za�.-sc � /'7" �7�c�%x .SC' /�i •c �e <br />NOTE: W IRING IN NON-DWELLINGS IS REDUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX COtiE IS 3105 <br />I hereby ceRiry inar I have roed <br />correcf. All provlsions of laws e <br />whofher spuciGed herein or nof. <br />vioL�to orcancol tho �rovisions <br />peAormsnco o/cons7rucGen. A <br />rrork lor whlch applicelion Is ma <br />2�J6.200 bV�C. <br />� Ih/s applicafion ond <br />gevorning thls typo <br />ol n permi(doos nof <br />e fo bo 6vo ond <br />complofed <br />✓o outltorify to <br />tion orfhe <br />'o poAonn fho <br />8.27 RCW and <br />FEE <br />� � u IZ -C�:'� <br />