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�� <br /> J25-252-1666 U�IHEATING � 04:0 p.m. 10-06-.014 4I8 <br /> ELECTRICAL PERMIT APPLIGATi ION <br /> CwTY OF EVERETT PERMIT SERVIC�S <br /> 32D0 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.nrg <br /> l����—��f <br /> G—I�fra—�� � <br /> �2�23 i�-'�" Dr S � �'v � 82t� 8" <br /> PROJECT ADDRESS <br /> . be �G w�b s�� o �25 �38 S 7� '-{- <br /> Owner Mailllddress Cdy Stala2lo Phone <br /> Tenant Mall Atltlres. Cily Statu2ip Phone <br /> .�'1l �v�c� ( nc i�{i5 �x6�r��c�,r (le��ci- lvR Q`b�� 4-Z5 Z�fi f,;G�l�� <br /> [leclrical Conlrac�or Mall i�ddre.s City SIa1e21p Phone <br /> Ci�1Fk�M N R�� �� 01 (o Oq S <br /> State License Num6er(requlrod) City of Everett Business Licenso Number(requlred) <br /> 250 "� <br /> Proposed Use of BuIIdIr� Cantract Price a(Wotk <br /> �l��v. t�z,5� I c���, <br /> Square Foolaye(If residential new conslruction, remodel or addilion) ntact Person/Conlacl Number/Email � <br /> Number o(devicos (If low vollage) <br /> Duscription of NPork l0 6e Donc: 1 'C.j�1 �h�,�Q� <br /> 1 <br /> i <br /> r'EF. �"'{� <br /> CITY OF EVERETT LOCAL SAIES TN(CODE IS J105 c /�� w <br /> I ho�eGy cerfily Uiul l huvo mnd and uxarninod fhis app/icaffnn and know fhe snme(o bo huo und JV <br /> conoct. A!1 provisians o(Inws and ordlnanr.as yoveming lhfs fype ol work wili be cnmple(ad <br /> �vhether spocified herein arnoL Thc �ran(in�o/a permif does nal pru5mne fo give aufhonty to PERMITII <br /> vlolnl�a orcancel fhe prnvisions oI any ofhur�fn(e orlocul Imv mgtdafing consfmr.finn or(he � �� � � ^ ��� <br /> poAo���anca o/constn�r,(ion. Thuf/nm aufhnrimd by flru utvnor ol fhi;properfy to perfaan!he <br /> wortc 1or whlch applicafion Is rnudo and I comply wiNr fho Sfa(t� Confr�c(ors Lmv 1 B.27 RC W and <br /> 296.200 WlIC. � <br /> � 10 . � ly- <br /> 519 ,�urc pa�u <br /> arviscn ouor✓.�oi� <br />