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or in •�nn; in:o� I:�� �sos59A415 c:ut��is Itv�r i•,c <br />ELECTRICAL PERIVIIT APPLIC�4TION <br />CITY �F EVERETT PERMIT SERVICES <br />3200 CEDAR STREtT, EVERETT, WA 96201 <br />425-257-A810 - FAX 425-257-8857 — www.everettwa.org <br />APPL ICATIONS ARE ACCFPTED FROM 8 AM TO 4 PM <br />��a9 /D�'`�.� � /� - <br />PROJECT ADDRE3S <br />Owner <br />Tenanl <br />Mall Addrass <br />Mall Addrosa <br />�/.��IAI L-�iIS15 I.U',_. <br />ElacUlcal Conlwclor � s� <br />1 99 1 C'_ �___ <br />Sta e icnnso Number <br />�5f� <br />Proposed Ueo ol Bulldinp <br />Doscriptlon of Work to Ba Done: <br />NOTF WIRINC, IN NON-DWFLLINGS IS RE�UIR[D 10 <br />HE IN RACGYVAY�, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALE3 TAX CODE IS 3105 <br />, � <br />� �� ��. <br />Clty <br />Clty <br />Clty <br />I�ooi not <br />iy� � <br />���-�� <br />Stats?Jp Phona <br />�tele2lp <br />SleleZp <br />PhrnO <br />�.o G.���3s <br />Pnone <br />C;ontraci P�Ice of Wo:k <br />1"A/� ` �IN��v7l�S � N _ <br />C onloct Pereon (Plen Rovlew� <br />l heroby cort/ty fhef I heve roaJ end oxemMeA fhis epplfcaflon end Wiow tho seme to be huo and <br />corrt��f. All provlslons plle�rs end o�U/nenr.es {/ovominq fhls type ol worh wlll be wmplofad <br />whefhnr spodfied hemin or not The prontlnp o! a ponrut duos nof prosumo fo plve auB�odty fo <br />Noldfe nr cencel fhe provlslons o/ any ofher steto or Ixal law repulaGnp construcllon or the <br />porlormenc�e o/ cons7iuc0on Thef I am authorizod by fbe owner ol Nds properfy to perlorm the <br />woM /ur whlcb appllcaflon Is mnde and � ccmply wlth fhe Sfefe Confredors Lew iB.27 HCW end <br />2Y6.ZOQ WAC. � <br />�Y <br />'T'r— <br />� �c l -�u�'��-, � �n ..�L GGny <br />�r <br />� <br />FEE <br />� <br />