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h;�v. 29. 2(' 1(' 1 : '.'4°�J� �1c. 1969 'r. �/i <br /> ELECTRICAL PERMIT APPLI�ATION <br /> GITY OF EVERETT PERMI7 SERVICES <br /> 3200 CEDAR STREET, EVER[TT, WA 9f120'� <br /> ' 425-257-a810 - FAX A25-257-II457—www.everellwa.org // `� � �D <br /> APPLICATIONS ARH ACCEPTED FROM 8 AM TO 4 PM ��0�/—/�D <br /> ��fa � /�j'�ST� <br /> PROJECT ADDRE55 <br /> /�s� s3.�y E �.� , ���1�.2/? 59-5.i6-G � <br /> owner Mall Addrass Cily siaterz�� rnor.e <br /> i <br /> Tenanl Mn�i AaJross city Siate2lp P�mne <br /> ��/1 �,�i� ,�,rr�.7Sr�G .33a7 E C[id� �'y�/1� 9fo2o� ..05'-�-Fson <br /> ElecldcalCoMr clor Mo�IAJJross r,iiy Slain2lp pnono <br /> X/0 35 <br /> �0�✓�2(�F l�'9�i/ ,B� .5�� o 0 0 <br /> Stale Liconso Numhcr COnl�act Price o(Work <br /> IV��c�o�I�C2b .���^�/�/f/ <br /> P�oposod tJse of Du��diny Conl2cl Pa�^on Plan Revlew) <br /> /� � / � . <br /> Oescription o!Work lo De Done: �/�/D y ,��jY,S7�pLG- �L�S /��� �/i6��/ <br /> �h �GnP��n�6�L.-v� ��t�.e.tir/ �,�'l"� ���'4TR- �iS�tD <br />� <br /> NOTE[ WIRI�JG IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE DJ RACEWAYS, MC OR AC CARLE. I�� � ✓ ' `� "_. i <br /> CITY OP EVERETT LOCAL SALE9 TAX CO�E IS J105 I'�I <br /> 1 here6y certlq�(hef I have ro8d and oxaminad fbis oppFcnllOn AOd kr701Y fh0 Santo lo be 6ue a0d � i i C i <br /> cor.ecr. a�n�o�r�ro�s on�����ond orcllnonc�s flovomlrq(his f}�po ol warh will Ge comp/o(od � � � � � - � —� � <br /> whelbe�specl/fed II6�o10 or qoL The g�anling o/s permit does potu iasumo(o givo sufhonty fo <br /> NoYdo or canco!Iho rovisions o!sny o0ier slnfe oi local law regu/nfinq conslruclion or 1�7e <br /> pedormsnce al consPucllon. Tha(1 am aufhorizud by Ihe owne�ol lhls proporty(o norfo�m fhe <br /> rvork(o�ivhlcR applicafion is msdo and I comply wilh Ihu Sfnfo Confrac(ors Lsw 171.27 RCVJand <br /> 196.200 WAC. <br /> r;F����..��, .//�9�o <br /> olpnslurc �U;+to <br /> �.��5� G�G: ��d�- /.�i.�o�� /�2 C�t�n.f' G�Fr�o lii'Fo , <br /> ��, --�",.� - <br />