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Sep 24 10 09: OSa Frank Cheek 360-659-8578 p. l <br /> y �� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �, �_�� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 '� -� <br /> 425-257-8810 - FAX 42u-257-8857 -www.everettwa.org r/pC�J -!/L/ <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � ' � <br /> / � �,s• y ��, � r �. /��r /�( v✓�.� �.� t ,3 <br /> PROJECT ADDRESS <br /> ,7 / i <br /> � �C r'�.I r ��i� Y c v .o rl.S � .S <br /> Owner MallAddress Gly SWIelLp Pl�onc <br /> Tenanl Mall Address City Slalo2lp Phone <br /> / 7 / / i �y <br /> /I/O ^Y�iCI^M '( IC �� �� Y'! .L �7 <br /> Eleclrir.al Coniractor Mell Addrcss Clry StatclZfp Pnonn <br /> � /%/ �/�_ <br /> State License Number � Coniract Prico of Work <br /> Proposed Use of Bullding Contacl Person (Plan Review) <br /> Description ol Work to Bo Uono: J �T / { h� JO / S�✓ Yy lo,., /Z <br /> � �� � t /�� <br /> -� <br /> NOl'E: WIRING IN NON-DWEILINGS IS' RE�UIRED TO FEE � <br /> BG IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAI SAlES TAX CODE IS 3705 <br /> 1 hc�eby certily that I frave road and exeminod fhls applica9on and know tna same fo bo frua end <br /> corrc�;f. Alf proviNorrs o/laws end ordlnencos goveming fbls typo oI work wif!be compleletl <br /> a•hefher speci�ed heroin or nof. The grnntlng of a pennrt does nof Presume fo glve authon(y fo <br /> violate or cancel tha�rovlsion.:o�any other s!ate orlocal lew reguleUnp construction or the <br /> peNormanco ol conslruction. That 1 em authorized by fhe owner of thls property to petform fhe <br /> work lor which applice(ion Is made and l compty with fho Sfafe Confractors Lew 78.27 RCW and <br /> 296100 bVAC. <br /> � z =�'����� ���y/�o <br /> �yJ �./� A <br /> S�gnature ��' Oa . <br /> � <br />