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p. l <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVER6TT PERRIIT SERVICES <br /> 3200 CEpqR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—wvvw.evereriwe,org ��aS �-O� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM '�,-7 6 / _ /�_3 <br /> 300 �. n,� rN �i yzs <br /> PROJECT ADDRESS <br /> 25� <br /> �S�y <br /> N ��fc�. � u��pr� ,v� � n� �u dU 1 J�l l/J�.�/ r�v 1f��� <br /> O.vner MallAdaross Ciry SbMZp Phon� <br /> Tenalll , Ma�l AGOrolS Cly StatdZlP /�� Phons <br /> Y <br /> ��N�1F�L Jl�( 3 n� �! /1•V ,��/ 9�'20/ 'ZS`� ?/y/ <br /> Electrtcal CAntredor Mali qAdree� <br /> �b SnroZP Phone <br /> FC/ f.�L��� ��� �DD Q� <br /> State Ucense Number � Contra t PrlCe Of Work <br /> GOMM <br /> Proposea Use of Bulldlnp Contact parso�� (Plan Review) <br /> DascriptionotworkL�BoDone: �.lj�',f /�F,p„�j�M Q`�/ n�� � C�iR�los{�A�� <br /> . I—"��.��..�-__—_�/ <br /> NOT[: WIRWG IN NON-DWELLINGS IS RLQUIRED TO FEE <br /> BE IN R,4CEWqYS, MC OR/�C CABLE. y <br /> � �s' � <br /> CIN OF NERETT�OC'AL SALES 7N(CODE IS�105 <br /> 1 horebY cert/fy ihet f hevo read end oXaminotl thrJ appllWUon end knOw the same[o bo hu9 end z <br /> corroct Afl provls/ons oflaws end orcllnances goveming ihls(vpe ot work wil�be comp/eioa 1=�%�C��— �� J <br /> whether spedfied horein or not. A�e grnntinp af e parmd does no!presume io plve au�hurlty to <br /> vfolate or cencel Ihe provls/ans of ony otho�stete orlocal lew rogulatlnp consVecilort or fhe <br /> wo�for wh'ch app icetlon is maUe bnd I cvmply wnhYtl,e 6rote Co hhe�c�rs Le�iB 27 RCw a d <br /> 296.200 WAC. <br /> pnawre�� - ��� /� ._ <br /> I <br />