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Dec 21 07 12: �2p p. l <br /> E�ECTRfCAL RERIIAIT APPLICAT1OiV <br /> CITY OF EVERETT PERMIT SERVICES 2��3 <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �.07� I <br /> 425-257-8�'I G - FAX 425-257-8857—www,everettwa.org <br /> /� -aJ-o� <br /> APPLICA710NS ARE ACC6PT6D FROM 8 AM TO 4 PM <br /> (vd'3 0 � /Y'� AV�' f� <br /> PROJECY A4DRESS "/N <br /> � 5i3 <br /> Rd+��F�tr �.�F� 5'g2��� ,�r ,�,� �Utvk�c.rs.es q�'z?� 9s99 <br /> Ownef � MallAddroee � �� Clry � � ��Smii/ijp Phooe <br /> Tenant Mall Addrosa Ciry . Smb21p ��f Ph00� <br /> �E��ku�J�N, Srj �Go1 /'cv AV ,E�' QP�a � yS� �lt/ <br /> Electrical Contrector Mal1 Aaaross Gty 54te21p Phana <br /> ����t�1'�/� 2 L`J �; oae " <br /> State Llcense Numbar . . ConVaM dca of Work <br /> CaM.G1 <br /> Proposod Use of Bulldlnp Contect Person (Flan Revlew) <br /> DescrlpNon of Work to Bo Done: �,�,U�'�'!�_ L_) yTI l�'/9UiU C. ,EiK�` <br /> NOTE; WIRI�G IN NON-DWELLINGS IS REQUiRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. 2� �� <br /> � <br /> CI'TYOF EVERBTT LOCAL SALES TAX CODE IS 3705 � <br /> l heroby certlfy fhet/have reed end oxomingythiS appliCaG'on and know the aame�to be true and � . � <br /> correcG All proNsions ollews end orc!lnences pqvem/ng ihls(ype of wprk w7fl be aompletsC � . <br /> whether specilied hereln ornot. The yrendny of a pemi7!does not proBums fo plrB eUthorlty tp <br /> �,.vfolafe or ceocel tho proNslons ol eny other sflts orlocal law royula0np conshucNon or the � <br /> '�paAo�mence ol constroctlon. Thet!am suthoNzed by(he own6r 01 thlt,properry 1G pedorm ths ' � <br /> �rk for whlch epplicaUan Is made aod I comply wlth fhe Stafg Controciors!aw i8.27 RCW and � <br /> 296.200 WAC. <br /> �� /2 z� � <br /> pnaturo . �a . � . . <br /> ' I�) <br /> � � � �� � ���,� <br /> � <br />