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poozioos <br /> 06/19/2D1� HON 9: 15 Fnx <br /> , • J <br /> ��- 1 <br /> ELECTR6CAL P�RMIT APPLICATlON <br /> C17Y OF EVERETT PERMIT S��VICES <br /> 3200 CEDAR STREET, EVERE7T, �NA 98201 <br /> 425-257-8810 - FAX425-257-8857—www.everettwa,org <br /> APPLICATIONS ARE ACCEpTED FROM 8 AM TO 4 PM �o ' (� ���' <br /> Eizob_ <br /> Jo`�6��' It.a�' A-c.� SE <br /> PROJGCT ApDRESS <br /> C.V P�G�'C�QX�__\n QA/� �O PV_L�l��'� �~ l'"�)�a1�P LV 6 u���� <br /> p,,,��y� M I Address Clry <br /> �.l.L�. 1 V\G,� Phone <br /> Tenant Mall Mdreb ���Y S�p�e�Z�P <br /> �� <br /> 1 +[,�n#- ��(t v ( 1 C� ���13.n �olk�'� �l�k. \f� 1Y1(�?/�kv r a ��a aGc u9.,�.d_��1-`d�•�\ <br /> EleollcalConiroctor MullAtld�roo CIty Stala/Z�p �' C/�+-�� Phane <br /> �Cv\1�r4�.,q�L`c� q � �� <br /> Stale LICo e Numher Contrad Pric�of Work <br /> �Y��-Cb.Q- .�,�('ian�l ll'l� vtrGC� _ <br /> proposed Uso of 6ullding Contoct Person (Plan Reviaw) <br /> Dasalptlon of Work to Ba Done: �C�,) 1�1��,�G�`�'la 'Kl�� ��-�`'`�'��LIG �`���— <br /> � <br /> NOTE: WIRING IN NON•DWrLLINGS IS REQUIRED TO F[E <br /> BE IN RACEWAYS, MC OR AC CABLE. �D � � <br /> i CITY OF EVERETT LOCAL SALCS TAX CODE IS 3105 <br /> /horeby CArtlly thaE I havo road and oxomined fhis applicalion and know Gte.gemo to bo We and Z O/- - OQ � <br /> corracG A/l provisions oflaws and oNinances poveminp fh/s typo of work will bo complefod �I �Q I <br /> whofherspoc/tlod horoln ornot Tho granting o(e pormddaes not resume fo glw oufhonfyto <br /> vlo/a(e or cencel the provlsfons of eny othor sfofe orlocel la�v reguPafmg cons/rvd�on or the •� <br /> poAormonco oiconstruclion. Tnat 1 am authorized by the o�vnerofthls proporty fo pedolrtl ff19 <br /> �vork/or which AppObafion!s rnads and 1 canpfy wlth fho Sfafe Confraclofs LpW 18.27 RCW and <br /> 2A6.200 WAC. <br /> ' _.. �f.-t.Ln � i�l"I c o D.�� � Lo� 1�]�l7 <br /> �ma uro� Dele <br /> 1 ------_.---'-- ��� <br />