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Fpr OS 07 08: 38a p• 1.. <br /> � � <br /> ELECTRICAL PERMIT APPLiCATION <br /> CITY OF EVERETT PERMI7 SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - FAX 425•257-8657—www.everettwa,org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 2 / � /�'+c.CJI.L J'h�! Y�5 <br /> PROJEC7 AODRESS <br /> � 31.� <br /> t'�i� l�ar.t- n.�r 2� r � .�� �a.t� �cv y�',tp � � 93.3 <br /> Owner � Mall Addna�. Clb 3mte21p ph� <br /> Tenant . MallAddroa� Cly $U(e21p � /, ls Phono <br /> FV�..a ,r S�S 3C�t �/ �y �v 9�.to� Y ��2/G� <br /> 819Ctrlcal ContreCtor Mall Addnss � Clty State2lp � . Phon� <br /> l�('G-�tN SS /`/Z� P <br /> State Liceneo NUmber ConVatt P�Ice Oi WOrk <br /> Proposed�lldlny � . Contect Person (Pian Review) <br /> Descripdan of Work to Be Done� �.. � /4/ <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. ��o 0 <br /> C17Y OF EVERETT I.00AL SAI,ES TAX CODE IS 3105 . <br /> 1 heroby ce�Ylfy that!heve read end nxemined thf�eppllpCeUon enQ know the semp to be trve end <br /> whe(hers�cl Red hereln oQ not�The p�r�aentl np ol a perm7t does�nofp�:ms o ar:mnhoNtylo <br /> Noldlewcenc9lfheprovlslonsotany�othersfeteorlocellewiypu7etlnsppconstruct/onorthe � � <br /> wo�N�otwh h epp/lcr tlocnls mede end 1 oompty knh f�e Sf ta e Qo frocfo�pLew 7g 2 R7 CW and � <br /> 296.100 WAC. <br /> iaoature � ot� � _I <br /> :��,�� <br />