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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 l' `� �� v�� <br />425-257-8810 - FAX 425-257-8857 — www.evereltwa.org � G�.�`C;�� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� °�t• <br />� �, :z o �'_ <br />PROJECT ADDRESS <br />! oi�l ��� �—�i�%i��lc% � �3� l8 � � �✓� �c r ��.�,�a �,��- zc�l- Y��H�-�s�v� <br />Owner h7ail Addross Clty Slate/Lp Phone <br />� � . U,l �-Y�2v� <br />/�/�J �C (J G <br />Tonant <br />� �dC'�,1�,�3 <br />Elodrir.al Conlraclur <br />`l% 7�yS�t' <br />Mnl! .�ddrAss <br />���,�. �Z %.�.i0 <br />R1ail Address <br />`_� � l_�/� �� j� 3�Y <br />Stalo Lir.���se Numl�cr <br />��r�ifr��' � !�.! -- <br />PrOposed U�;o u( lludJid��� <br />n� <br />Cily <br />Clly <br />°�/t' %��lc�� �/„Z`1-;>'S=I�- <br />Slalc/Zip Phone <br />A S3� 7�a, �.�_j3 <br />i �.J �- `�tSs b�0 <br />Doscriplion al WorV I�� [ii� U� �rn. __. ji-�! � �, =---- � -` -�--- � /%, rl��, <br />�=---- — <br />NOTt WIRING IN fJOtJ DWELLRJGS IS RFQUIRFD TO <br />[�[ IN RACE=W�1'S, h1C OR AC C�DLE <br />Slate/Zip <br />��'� <br />Contracl Prico of Work <br />Con�acl Ferson �Plan Rmicw) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 heirbp rrrtily fhaf 1 h,ive rend nnd caamined Ihis .ipplicntion nnd hno�v fh� snrnc fo bu Gue enA <br />conurt �II pro��isions ol la�ss t�nd eiJmnncrs goceniin� flus ty��o o/ wo�k wll! be coniplelod <br />�nc�th�v sp�rcihed horr�n or nof iho ��antini7 0! a permd di�os nof vosumo fo givo nuthnnly fo <br />vndnh� oi c�vncel fho Ivovisions c! mry nfher sL�le or locnl lmr regulofing consfrucfion ar the <br />perlomiance o! constiuction Thaf I.irn nufhoiired b�� (he ownor ol fhis proporty fu porform Ihu <br />ivo�A A,r n hich npplicntiun Is mnUe nm.' 1 curnply wifb fhc Stnte Confrnctors Lew f 8.27 RCL1' nnd <br />?96 70C IVAC. <br />/ <br />.. . � / / <br />- . � • _ � � � ' � �)3� '�/ �� � <br />. _. . __ -'____... _. ____ ._ .--__� _._._— _ <br />tiiyndlai�. � - <br />FEE <br />� <br />Phone <br />Jf / <br />