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� <br />ELECTRICAL PERMITj APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT!, WA 982b1 <br />425-257-881C` - FAX425-257-8857–www.everettwa.orq <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 pM <br />/m 33 o y �` �/ G�. <br />PROJEC7 ADDRESS <br />soutr�p�iNr /033o y�`�.+/ G.f <br />Ownor Mall Addroaa Clry <br />7enant <br />P�all Addresa <br />Etoctrlcal Contraclor Mau Adarese <br />�Yi,�,vss iYz�i' <br />Stnta Llcense Numb9r <br />✓� iJ U L.T G�/1�` <br />Propocod Uae of Buildinp '�'— <br />Dosalptlon ot Work W Be Done: .5 � <br />NOTE: WIRING !N NON-DNIE�I.iNGS IS REQUIRED TO <br />BE IN RACE\NAYS, MC OR AC CABLE. <br />CITY OF EVERETI' LOCAL SALES TAX CODE 13 9105 <br />I herety cerflly that I hevo reed end eXamined this aonllc <br />l <br />� <br />end <br />Clty <br />� <br />Stata2ip <br />StatelLp <br />Snu2ip <br />�� ooa — <br />Controct Pdee o( Work <br />p.l <br />, y Z5 <br />s/3 <br />s�e S <br />Pr�one <br />i /� Phons <br />72'�g <br />Contect Porson (Plan Re�low) <br />P�one <br />to bo frue end <br />xnplefed <br />� authonry to <br />m or the <br />2 RCW end <br />