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i <br /> ELECTRICAL PERMIT APPLIC:�TION <br /> �CITY OF EVERETT PERMiT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 C:�./,�� .z <br /> 425-257-881 U - FAX 425-257-8857—�nnvw.everettwa.�irg �J � <br /> APPLICATIONS AREACCEP7ED FROM 8 AM TO 4 PM �'��Z�� �O� <br /> � 1 !Z'�ji � � .A�J�NUh S� <br /> PROJECT ADDii�SS <br /> Owner MallAddress Clty State2ip Phone <br /> A�r'CU Sr�JE� l.�F 1\�3l l °I 'u Q.•1F �E �/E`Zi � WA 5L�'� <br /> Tenant Mall Addrass Clry State/2ip Phone <br /> '�'v��,l �.aNF0.- `1`+5h�"+s 3GZ� E n�,A,'ZCrea.��'1 S SE�94Z�, wAi <br /> Electrical Contractor Mafl AAdress �iN Sts�ef['P Ph°^e <br /> �vFTLCs�+5�5bF� � Il , By�1 �' <br /> 512;e Licence Num6er Conlract Pdea af Work <br /> CoMM'�RZ':d�CC_ -TT��c�.J ti�,ie��-f _z.�.—�BL"'I'1V3 <br /> �Proposed Use oi Building Confact Person (Plan Review) <br /> TfiNAdK ''i`MQ4-��F�E*+�' (S� 54S=Y <br /> Square Footage Qf resitlEntlal new construcNon,temodel or adtlitton) <br /> Descriplion of Wark lo Be Done: 3��j��� ' �� A"�I �' '�' G��T'� S�'`���i� <br /> o-���`'1 S� 'l�LocJasF l'ZTd '��.nDC-L '�SL.. ,l�['(� S3�2i��.1S" . <br /> NO7E� WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALE5 TAX COd�IS 3105 <br /> I here6y ce�tify that 1 have read and exemined fhis zpplicah�n and know the same fo be true and E 1�a v 5-e,�� <br /> comect A!I Provisions of laws and ordmances governing this type o/work wdl be vompfeted �^ 1 <br /> whe(hor specilled herein nr nr,t The granting of a permit doec nnf presume fu qive authodty fo ��� �,p<<„ •��C„, <br /> violele or cencsl the provisions of eny olher sfate or lucal law regu/afing construcfion or the I <br /> peAorm oI construdwn. That I am authodzed by the owner u�this property to pertorm the Q �' ,,,8�. I�`3 <br /> G osk/ O�A epplication is �i�de and I comply�vilh the Sfate Con�ractors Law 18.27 RCW antl �, <br /> ko�v� C�7' �/1�'�Q <br /> _ b'S 18 �2 ��. <br /> Signatu�e Da.e <br /> ;!. , 1669 'ON '�NI 'SW3ISAS 53M0� N338983�3 NVQl �6 ZIOl 'BI 'AVNI <br />