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,Ii11 . 1 $. '7QQ� I :�-P�� I[l'.nl;�'. $Y)I[k,: �IIC �l0• li `c! � . 1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETTPERMI7 SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO A PM <br /> �y o�. m ��'� I I Crc�.k �w� -� � 3 <br /> PROJECT ADDRESS <br /> � <br /> �=�' � Ve� ►� P��S�I��GYe�1�2, ��0���c��eC� � <br /> Owner Moll Addresa Clry StatelZlp hona <br /> Tenent Mall Add�BB! Clty St0I6Zp • Phc�e <br /> na. �.��d�m� �� �.����P��� �)svi 1��4 � � <br /> ElactdealConVaclor MallAddre99 Clty State(Zip Phcns <br /> �.��1�°l� �_ �7�p o a <br /> State Llcense Numhar ntract�rice of Wo <br /> m�, 1 �� .(�m�n i� ��rbe 1� <br /> Propoaed Use of Building Contact Pereon (Plan tievlew) <br /> �escriptlon of Work to Be Qone: 1�Uv�� tl D 1-�r� e '— � K K_ 7`T �1 rI Y 1 <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX COOE IS 3103 <br /> 1 hereby ceMify thet I hdve read end examined thls appfleaUon and know the same to 6e fru9 end <br /> coaec�. All proNsrons ollaws and ordinances poveming thIs type of work will be completed <br /> whether speclflec hereln or not. The grenting of e permit does not presume fo glve eu(horlry fo <br /> vlofete or cancel the proNslons ol any otherstete or local law reguleNnp constructlon or tha ,�(,� I <br /> performance ol conslructi0n. Thet 1 em euthodzed by the OwnBr 01 thls property to par(o�m the � <br /> work Icr which appl/cation Is made and 1 comply with the Sfate Contreefora Law 18.27 RCW and i j �� <br /> 286.200 WA � (�"' <br /> ��� � ► �� 12� <br /> ipnawre ' ete <br /> � �'�/�) /' /�' (��/� �y�//� AA 3�1� -loS�=�S� <br /> C ` L� \ v-�r � � , r r <br /> 1 <br />