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II'�'���'��p !I{; ����t�lr L;�ill{ jl_�� <br /> . ' <br /> ELECTRICAL PERMI7 APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � `a ��o � <br /> 3200 CEDAR STREE7, EVERETT, WA 98201 <br /> 425-267-8810 - FAX 425-257-8857-Www.everettWa•a�9 � �n„q_��G <br /> 2S � � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SO `7 /Vo� �N JC� <br /> PROJECTADDRESS <br /> �f 3 S��� N��-l�n ��u� w z o I ,zti= - �y/o <br /> �'^ � �� • �m, State2ip P�ono <br /> Owner M�ii/Wdnw <br /> �m, 6t�N2ip Phone <br /> Tenant Mall Mfenaa <br /> R(.k[lm/nn�tL�sRCo �ibu R«S�(.+a C �' U ' � �✓�" �273 �8 3J6-4/5'�' <br /> ���, Smb2ip Phona <br /> E�ectfIC0lConttiCSOf MellAddloas <br /> �K RL�co�H1��1 V'�r► <br /> ccnaaa Piwe o�vw�c <br /> Ststo Liconeo Numbor r <br /> CVan kCl � Y, <br /> ,�tyti�VI(t Conlact Peraon (Plan Roview) <br /> Propoexd Uee of Duildl�g <br /> pueviptlonofWerkbBoOonr: Y�CH}� 4Y�CL �jtLt ��%o6r It+�bC f'AN�n• <br /> NOTE: a��N RACEWAYB MC OR nC CA6LE.IRED TO <br /> FEE <br /> C17Y OF EVERETT LOCAL 9ALE8 TAX CODE IS 1106 ��F/� I� <br /> 1 heroby cortiy thaf 1 bew rood end oxamin.d thrs+rpplkntion end Imo�v the asmo to b•fruo end �r <br /> corroct. All provisions ollews and ordinences povomfng fhla typ.of work uo71 be comp�etsd <br /> wh.tharapecrfiod her.in ornof. The p�rntlnp o�r Amm+f doar rtof rpsum�fo plvs�uMo�ty to <br /> violotooresncolthe pmvielonso/anyotherefaMorbcsll�wiv0uP6nyeon�7rucNonorNe <br /> prdormnnca o!cona7rocYbn. TTiul l em�ufhodzad by thn own��ol tFdsnro psrty to��omr the <br /> 2pp ZOo WAC.oppfice60n is medo end 1 romply witA the Sceto Confracfora taw 18.'27 RCW onJ <br /> �' P...1�.�._-- 9-z y-ox <br /> -� Biyn�turo DBto <br />