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From:T1TAN ELECiRIC 2063742128 11/11/2008 05:17 R266 P.003/003 <br />i <br />� 13- 8 ��-4 <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 —wvnv.everettwa.org <br />APPLICATIONS ARE ACCEPT._ � FROM 8 AM TO 4 PhR <br />7foo f{wrdtson R,eat� <br />PROJECT ADDRESS <br />1( -1 z-O� <br />�:0���"�� <br />(AM+ ',li � • �.�' 7iJn 4/cvJi.te. /%v�.� Fw.r_7f �ih �`1203 �1J6)Y39-bt�i <br />Owner MallAddross Ciry Stalo/Zip P��o��� <br />Tenant <br />Mall Addross <br />Cily <br />SIa�c2ip <br />Phatw <br />Ti.�w..� E l�ei-ri� 90o w! 34n S�fGGT $„•/� /osi 5¢at/�{ r✓A yaio3 C?u6Jo33-.tAn <br />ElecUical ConlfOCto� Moil Addiess City Slale2ip Phonu <br />• - - TSTAAlEI9u3ed <br />Stato License Number <br />/-�,.� trc,'a,( D%�'c¢ _ <br />Proposed Uso of Builtling <br />�1 /1r �/G.00 <br />ConVect Price of Work <br />ContaU Person (Plan Roview) <br />�esuiption of Work to Be Dona: S v.D%w� � {.�w ✓a�'Fr.tR c{r�t a�.Sec �..r' C'a aik. ) <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. � j O. vo <br />CITY OF EVERETT LOCAI_ SALES TAX CODE IS 310b <br />1 heroby coRiry fhaf ! havo road and oxaminod this applica6on and Ano�v the samo to <br />corroct. All p�ovisions o7laws and ordinances govemmg this typc o/ work will bo con <br />�vhethor spoci/red hereM or not. P�c granting of a permd does nofp msumo to giw c <br />violate or cancel thc provisions o7any olher sWfa orincal !Hw mgulating con5trucBon <br />pedonnnnce o( consfrur.fion. That ! am ou(horizod 6y the o�vnvr o/this pinpoMy fo p <br />work lor which aAP��calion is mado and I comply with B�e State Contrsctors Law i8.2 <br />296200 WAC. <br />� ���`�, �o <br />and <br />to � <br />and <br />