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FGP.—bl-20117 04:17 P�'' -����Jh1UVIEldGRUCERY 353 8533 P.O1 <br />EL�CTRICAL PERMIT APPLICATION <br />CIT'Y OF EVERETT PERMIT SERVICES <br />320Q CEDAR STF.:ET, EVERE7T, WA 98201 <br />425-257•8810 - FAX 425-257-8857 - wvvw.everettwa,orA <br />APPLICATION8 AFE ACCEPTED FROM B AM TO 4 PM <br />5 �S 12. Sa��� ��� <br />PROJECT ADDRE9S <br />Owner <br />Tenant <br />s.,J�Pw�—,eS 5312 5 <br />Moil Addnse <br />� <br />cj,•}'v"� C <br />Mall Atldro66 <br />�� lr �.:•ir <br />Eleclricel Contrador <br />;n�t S i�ia�72.1tTIfl.LL� <br />Mell Addie�e <br />� )> :� <br />'� � n� � - � , <br />Sta e Licenee Numbcr ' <br />�wE�-�.i�Jb SF � <br />Propesed Use nf Building <br />,►�D a,n <br />Clty <br />Gty <br />3�� S <br />rt< n C"d <br />ay�,-� / <br />Stete2lo <br />StetUZt� <br />S�r n.�.L S �J <br />�w� � ��� <br />51ote2ip <br />��C'� <br />�� -ti 1- U'� <br />�=u7oz-OID <br />w� �1$Zo� <br />Phane <br />Phoro <br />35�1 <br />Z � i �v�: c,$"k � <br />i'hone <br />,_; � _ .7 oOO ✓�_ <br />Cunlrad Ptice of Work <br />Conlnct Porson (Plan Ravlew) <br />Description vf Work lo Be Dene: � A� �-' L �- V('���TC _ A�� L t(1-C" t i T A-e D <br />—T <br />S �u o�c L 4� ��— C ��,n-a �a P . <br />i_.__ <br />NOTG' WIRING IN NON-DWELLINGS IS RGOUIftED TO <br />DE IN RACEWAYS, MC OR AC CAOLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE 13 3105 <br />I homby cortr7y thaf I hovc rcnd onU Pi�nrnlned lhls eUplk�tlai und knav the same to be fruo and <br />corrvct. �!I provision.s o/ Inws pnd ordinnnces govominq thr9 Nqe oI HbAc will be cwnple(od <br />whn+lrer spucAiod hem��� or nnt. The prnnting o/ a p�nn�! doos no( rrisumo fo plve authonty fo <br />vinlnf� or cancel Uw provisiona ol nny olhe�stafa or loca! law reguPfing consWcfion or the <br />pedonnnnr.c n! consfnir,han. 7 hat I am authonred by (Irn owner o! this noporty 14 peAorm �ho <br />woik lor wl uch npplicntinn is madN unAl comply wRh tho S10fe :onfrac��rs Low 18.27 RCW nnd <br />296 200 INAC. <br />�_� I� <br />� � ��--,,� ----�- .�! , <br />- 'ip e Dnlb ' <br />l..! <br />FEE <br />..��-,�� � � �� <br />