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A25-257-1666 CMHEATING 10.29�.20a.m. OS-O$-701. 3 !d � <br /> i • <br /> � - ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDP.R STREET, �VERETT, WA 98201 <br /> 425-257-8810 - FAX Q25-257-8857—www.everettwa.org -�j �C� "��`- ��{ <br /> APPLICATIONS ARE ACCEpTED FROM 0 AM TO 4 PM � I �DS��� <br /> � 2► i5 �5�"' ST �/ �i � zo� <br /> PROJBCT ADORESS <br /> � �lose (���YP,vas Sq,�n,c1z as c�b�-�/� �z� �z� 27�g <br /> � Ownor Moll Atldresc <br /> Ciry SIaIc2iP Phonc <br /> T�n�nt MallAddress CIIY SIoIdZIP Phone <br /> . . ���ia�lrv.i Inc 14i5 grtx����^ct�� C er� �vA 9�71�I ��25 Z:��I (�(�G�� <br /> [lectrleal Conlraclo� M❑il Addres� <br /> Glly Slale/1lp Phona <br /> ���I-�CA t�-I 1-i�i DI L�G 2 -r-� �- <br /> Slalu Liconse Number Contract PNco of Work � <br /> Proposed Uso ol�ullding Con�act Par,on (Plan Roviow) � <br /> Do;cription of Work�o Be Done: �,�S�A I 1 I�JU �.�.✓S Y��l.+ DU��'�Tr� <br /> NOT[: �WIRING IN NON-DW[LUNGS IS REQUIRE�TO F[[ � <br /> _ BE IN RACEWAYS, MC OR AC CnBLE. �O� <br /> CITY OF EVERETT LOCAL SALES TAX COO[IS J10G � <br /> , , I herohyCorfi/y(haf I hova ioaC ond ornmined this opplicaflon and know fbo sam�fo Lu huo�nd <br /> correc(. �ll provislons ollaws and oNlnoncos govammrJ IhLs typo o!work wiff bo compfalod r � ( �O C,- � O�(�, <br /> tvhofher spociliad hnpruin nr noL Tho pr�nNng o/a pormd doos no!proswrio!o givi�ou(hanfy fo L '"t � <br /> porfam anc�ofco'nslrcf on n�Thof I iimra�ufhvt�zad bylho�ow��o%thlsyp ropmty l�o�oti�mi(ho <br /> worlr for�vhlcb appllc�flan is mado ond 1 comply wlfh Iho Slnfo Canlrnclors Law ip.27 RCW and <br /> 296.200 WAC. <br /> � � � _� / <br /> 519nalurc U���� . <br />