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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STR[ET, E\�ERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everetiwa.org <br /> APPLICATIONS ARE ACCEPTED FROM b .4t�1 TO 4 PM <br /> „ � -� . <br /> � <br /> < <- ,� �c.�' � :�� �, � I- l? <�•. , <br /> PROJECT ADDRESS <br /> � / � 1 <br /> —�����'����l'_:-,_'�=�y �,L_�.i�. '-�-1��'� i�,f��=,u�.,�/ �� r .�--��" �-�7 <br /> OWnut A1ai1 Address Clly til;deiLp Phonc <br /> � �� <br /> __1��is_ ---- — -`��3�17'�.�_— — <br /> TQn.itl� A1:iil/�Udie55 Gt) til;ilc/Tip 19icm. <br /> ,�.1-/' l l-L ��� 7•�� '��:rc�,� !7.- � � ��,� 7� ✓ �- il Y Z�� -�- �y�. <br /> - -�'� � �-----L" -� f�,� —��-- i <br /> Ia.tricnlConlrarlor --- P.IaiiAddiess �:d; s�nb.2�p i�m�m. <br /> �i�f���� n., / <br /> � � './ � �. r' c �/ L � / - ".�� _�'/.�iSr� �'�`--_—_ <br /> L <br /> Slaln I icunsu Numbcr Cuntr�cl Piicu o�Wor� <br /> _ ,."..t,c 1��✓'L— ,se���---- -- �--- <br /> Propoticd Usc ol Buildiny Conlnct Pcrson (Plan R��vluw; <br /> �' <br /> Drs�nplwno�WurAloO�: Dun�•: __V1`� L�, C.9! C.cJ��� .�-�-�''L J7�`ii t'.-+-1 c�J �__-__ <br /> . _..—.._ ` �i.:i.•3 /,., ,• ` '[ �,� ------- <br /> �*—_ �LL <br /> NOTG WIRING IN NON-DWELLINGS IS REOUIRFD TO P[[ <br /> l3[ IN RAC[WAl'S. h1C OR aC CA[3LG <br /> CITY Of EVERETT LOCAL SAIES TAX CODE IS 3105 <br /> I hrrob� r��rtJ� lhaf 1 ha�r rrad�inA eA�arnmoJ this a��pin�;rti��n and N�o�r fhe sarm�fo be f�� �und <br /> conrrf �ll ui.n-itii��ns�rl l;�n ti.uid ordmancos poternuiy fhis fyp��ol norl� n�ill bo cornpMfe�! <br /> n�hrfh�v .i.,�n6oJ h��r.n„� n�,f ihe�ran6nn ot n p��nnd d����s nnf �resunto fo�ice aufhonfp t, <br /> ��i��lufo�n rancollh�� n�,usinna r�l nny olh�v stnto or h���al In�r ri�qu�afin,q cunsfrucfion or Ihe <br /> perlornian�:r� n'rims�nirG�m lhaf I mm�tAlro�¢ed b} fhe o�sni�i o(fh�s propori��fn poifonn fhi� <br /> �turM l�•r nludr apph�-;iG�,�i u rnoJu and I corrrply nith fhe Stafa Cn�rtradcrs La�r 18 77 HCl4'mtd <br /> 7AG ZUO IYA(. � . <br /> �. - � �% <br /> �r .-�� <br /> n <br /> _._ ` �� �/�_���_��/1�—� � / �L' `2'L- -f-�-' " � /� <br /> - Si�natura f ate .. / . D 1.'.� <br /> � I _ <br />