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Mar 29 07 08: 2oa p• l <br /> � l <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 70 4 PM ' <br /> `( z�3 t ���u ��' I�L �2S <br /> PROJECT ADDRESS <br /> Q� 3�(� y <br /> _JC/fIl`/V /�I�C�.MO�t%1„' 7y��K�I� �L 'rC� l�� �'►�Z <br /> Owner Moll Aadnsa Cly Sbils2lp Phone <br /> Tenant MallAddrsea Ciry � Snt021p � �2�phon� <br /> �'Y�hp1e���e s�s 3�0� �U r4.1/ �v ,�i',�,� �s9 z/G/ <br /> ElscUiCelConVactor MaIIAEtlnu Clry � Stat�lZlp - Phon� <br /> ����y�� <br /> Smt�License Number Contract PAce o}Work <br /> SFOL <br /> Proposed Uas of 9ulldlnp Contact Panon (Plan Revtsw) <br /> c <br /> ��a G� �►«�,��►,- st��r� �r r — <br /> Oescrlptlon of Work t0 80 DOn9: ; � <br /> C'`�K-'.` ,,�- ��, �l� �� �°�t1 CJ�Lc(i/.�'�' <br /> ,L� <br /> NOTE: WIRING IN NON-DWELIINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. 3rqo <br /> J <br /> ci'tY OF�VEREtT L�CAL SALES TAX CODE IS 3105 <br /> 1 haroby certlry that I have road and exemined thls epp!lceNon and know ths�eme M ba true ond <br /> corroct. af provlslons oflaws and ordlnences poveminc thla ype ol work wlll be compfeted <br /> whether speclAed heraln or not. 7he prenting of e permlt dosa not prosum�ro pive�uthodty to <br /> vloleteoreeneelfhoproNsionso/rnyotnarstafeorloCallewn uletlrtpFConsWctlOnorthe <br /> wo�orawhl ch appllcatlo�n�ls�made end I comply w h fneeSt fe e Contreoto s f�.ew 18 27 RCW end <br /> 296.200 WAC <br /> G � -2- 4� <br /> ipnatUre ate � . <br /> . / l5� <br /> �o� <br />