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•25-257-8810 - FAX425-25/-tS851 -wwrv.�•••�•••..._._ ., <br />APPLICA �. �VS ARE ACCEFTED FRdM 8 AM T0 44 f— <br />,��- a � q � �n L,/ <br />PROJEGT AQDRESS <br />r. _0 - �r.� �..� �,-��s-v <br />Owner <br />I 7enant <br />Mall AddBss <br />. � a_ i <br />City <br />City <br />City <br />� � StalarZ�p <br />:�--- <br />� _ � . StatelZlD <br />Stale/Zip <br />Phona <br />Phone <br />Phone <br />� Flectrical Contractor vme�� ruu��» <br />State License Numbei Contract Price of Work I <br />Proposed Use o( Bullding Contaci Person (Plan Review) <br />Description of Work to Be Done: �✓/ ✓�s. /'����'�—� �yb/?7l'/ <br />NOTE� W IRING IN NON-DWELLINGS 16 REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />GITY OF EVERETT LOCAL SALES TAX CODE IS i105 <br />! hereby certi(y thaf 1 havo read end examined lhls applicafion and <br />correcL All pi�visions of laws and ordinances povemin� this type <br />whefher speci/red herein or not. The granting ot a pennrt dces not <br />violate or cancel the provisfons of any ofher stafe o�lo,;al law regu <br />peRormance of construction. That I am authorizad by t.he ownero� <br />work for which applicatron is made and 1 comply wifh the Stare Cor <br />296.200 WAC. <br />FEE <br />� to ba trus and <br />completed <br />re authonry to <br />fion or the <br />o peAoim the <br />s.27 RCW and <br />e o 603 �o <br />�' � <br />