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Auo. i. 2u13 9 i8A��1 <br />P�o 921? F. 5 <br />ELECTRICAL PERMIT APPLICATION <br />CITY �F EVERETT PERMIT SERVICES <br />3200 CEDAR STREE7, EVERE7T, WA 98201 <br />A25-257-8810 - FqX425-257-8857—vrc�tv.everethva.org <br />APpLICATIONS ARE ACCEpTED FROM 8 AM TO 4 PM g�--f " I 3 <br />C 130�'`��% <br />��..� �j V G��" <br />PROJECT ADDRESS <br />m � �,��►. ���,.��� ��.►�,�. ��� z.�� �p�� � <br />OvmOr MallAdtl�C59 City Slaleflip Pnone <br />Tenant <br />[IaGrical Conlractor <br />1�!811 ACtl�I`39 <br />1415 � <br />Mall AOdress <br />_ Ci�i•I�EAM N Q 01(�q' <br />Stald License Number � <br />C1�Y <br />Ciry <br />stataz�p <br />SIa�aR�p <br />�� � <br />CoNrect Prlce o! Work <br />Proposed Usn ot BwldmB Contact Person (Pian Rowew) <br />DeScriotion oI Wark to Bp Qone. l.N I 1 V CA ��� ��, ��' • �CJ ' I v T �'�/�'F <br />Pnane <br />Phonp <br />NOTE: WIRING IN IJON-DWELLINGS IS REQUIRED TO F[L <br />[3[ IN RACEW�YS, MC ORAC CABLE. <br />� � � d� <br />CITY UF EV[RFTT LOCAL SALES TN( CODE IS J105 <br />I heroby cortdy that l hpvo road and examined (his apphcahon and know 1he same fo bo Guo and � <br />corrrcf. All prowsions ol/aws and ordinances govem�ny this typo of ��ork will bn comptotod � <br />whefher spea/ied heroin ornot. Tfto �ranfing ol a porm:( does nof presumo ro ipve nuthvrily lo /� ( 7� ��_, O� <br />wolnlBorCancelfhe provi9onsolanyofRcrsfofeorlocal/awiepulofingwnsUuc�mnorfhn li � <br />poAorManco o/construc(lon. That I am au(honretl by fho o��nor olthisp ropv�ty fo peAorm rho <br />e�oB Porwhich applrcaficn �s modo and 1 comply wdh tho Sfafo Contrec(o�s Law lU 27 RCUJmid <br />296.20011�AC <br />