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oa;oz, zoio is:as r•ns a45J15751') e:�it:ui•:i.� i:i.ccri+�r �jous:ooa <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.ever�ttwa.org <br /> APPLICATIONS ARE ACCEPTeD FROM 8 AM TO 4 PM <br /> �� 2� 25�" t�l�. , S� <br /> PROJECT ADDRESS <br /> � F-tf c�u�r� Conl�w.���l �o �X 1�`� lM,��'CSt�� k/A- 98Z7D <br /> Ovmer Mall Fdeross City SlalclZiD Phone <br /> �3�p��Sr.�-513 <br /> Tenant �.�an Addros; Ciry Staie2n Phenc <br /> �+v�c.� ��.rro�r� 4o�s � �z �K� s���S _�- 462sB ��s-�3�=� <br /> ElecVlcal Conlractor �dail Addrees Ciry State2ip Phone � <br /> 1�hK�l���r� F'1�- �25� <br /> State Licenso Numbor Convact Price o(�Voric <br /> Proposad Use�of Building Contact Person (Plan Review) <br /> Description e(Work to 6a Dono: I Af.�b�1c���.,�tJD TGT�P �OL-�. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CAE3LE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily fhat 1 havo road ond examined this appllcaGon and know Iha same fo be fruo and �� ��- U�2 <br /> coriecL All provlslons cl lows ond utiinences govom/ng fhls type o(work will be compleled <br /> whefher spocified herein or noL Tho pr ntlng ol o pormif doos not rasumo fo givo authonty fo <br /> vlolate or cencel fhe provlsr ol any other sfato or local law ieguPt/ng consWctlo�or Ibo <br /> peAormance o/canstrucfl . hot I am euihorfzod by the owner o(ihis property to perlortn tho <br /> work(or v.hlch epplrcatlo Is ede e d 1 comply with}he SYafe Contrac(ors Low 1827 RCW onJ <br /> 296.200 WAC. <br /> �-C� 3�a —� o <br /> S�fl Oala <br />