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«z�oa P uoi/ooi <br /> �EJ18/2073 03 �. 43 — <br /> ELEC�'RICAL PERMIT APPLICATION <br /> CITY OF EVERETT' PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � _�C�_� 3 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org (� <br /> � � i3f1�-l�l <br /> APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM <br /> � 1 ' � � �� ��' r�' 9 /1 <br /> 7 1J <br /> PROJECT ADDR[SS �� � <br /> Lo_ !S r4-�1�L�co�v �9/3 S� U! ;C �/ "' �a1Slate2 ��� <br /> Owner Mall Addross ��H P <br /> Tenant Mall Adaross Gry Sc�telZip Phone <br /> ,��-�L.>4iJlJfi� Sr-J' f�0 j�0�'��� ��'�l��'� y� �� 2/(v� <br /> Elac�ricai Contractor Mall Addross Clry Stale/Z�p Phone <br /> �/S.l'/� �(.� lri:i_F P(r_i'V1 ,C � <br /> Sipte License Numbar Contracl Prica o(Work <br /> Proposed Usa uf Buildiny Contact Parson (Plan Review) <br /> Descnptian of Work lo Do Done: f�]� � �� ! � � �^���-���5„�.— <br /> oZ c U�/a` - <br /> NOTE: WIRING IN �fON-�WEILINGS IS REQ�IRED TO FEE �� <br /> BC IN F2ACEWAYS, MC OR AC CABLE. �D , � <br /> CITY OF EVERETT LOCAL SALES TAX COpE IS 3105 <br /> 1 horoby certlly tha!1 havo read and oxamined thls appflc`atlon and know tho sama to bo frue pnd <br /> corroct. All provislons of laws and oMlnances,qovoming thls type o(woric wlll bo completad _ , <br /> wha(ho�spor.lfiod heroin or not. 7ho granGng of a peirn7t doos notp resume fo glve aulhonry to i , � %;C � , . � � �' <br /> v�olata or cancol the provlsions ol any olhor stota or local lnw ropu/a1/ngpoonsGucUon or Iha �_- � <br /> �vo�k fo�vh ch a�plic.11Con Is made snd!comply Hlth lhe SI ta e ConfrhnotosPLaw i8 2 RCW and � <br /> 296.2U0 WAG. <br /> aturo � ;o <br /> ` <br />