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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —�wwv.everellwa.org <br /> - APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM .z _ �z _o <br /> �— � � <br /> ' Z�1 f, 1���51N0 �� �,u�('�lT �..��� `'�U <br /> PROJECT ADDRESS <br /> � -� L, �-1,C_ 2�.,���=!-- y���;AU�.,� —�4— IsJ�`�'b D� r,_– ���t�� s�sy <br /> OWnar t.1nd Addic>s Cdy Slnle!Zip Plionn <br /> T[3rlan� –_ —���— Alail Address Cily --_S4tle'Z�p Phone <br /> r– (�. <br /> �-�-L+v_�_�u:r�es��,.k . �; �'i_4�.-;:�y�.,�L. Sw �.�i��1A -1`�Di���',-=�!s��;� <br /> Eloclrical Conlrnclor Atail Address City Statc2ip 1'nnuc <br /> ATT lT� � ���, vC� �d ` LP,� -- <br /> State Lir.ense Nutnbr,r Contracl Price ol lti'nrV. <br /> /�1UL\�A1V111-. �.�i:,��U1JL. ��L1L'.,Al�_C�i.V�'CWf��.Z _--- <br /> Proposed Use ol Buildin� Conlar,�Pcrsen (Pl�n Revicw) <br /> DeSc�ipliono�WorkloBeDune i1)L'�v_l�ni';�pA1r��ri���r ,��r,����q�_�. -- <br /> NOTE' WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE W RACEWAYS, h1C OR AC CA[3LE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 heioby r,ertilp fhaf 1 hnrc read and r�nminrd fh�s uppGcnGon nnd kno�s fhe same fo be fn��rind <br /> conor,t. AU provisinns nf h,ms and ordinnncrs g�+crrnintj thrs fype o/t+�orh �vill be complo(ed <br /> whofhcr spea/icd hercin rn nut. Th�grarfnig ul n pwniR does nof �resume to ync nufhontp fo <br /> �dolnfe or cnncel fho uovisions ol any ufhoi sfafr. oi IocnUnu�regu�alin�constn�ction or the <br /> peAormancv ol cons�iuction Ihnt 1 am nidhoii7ad hy fhe rntner ol tha pn,pmty lo perfomr fhe � <br /> tvork lor �vhich epplirn6nn a maAi�a d�l c�rnply ttith Iho Sfale Conhacfois La�v Itl 27 RCl1'nnJ <br /> 29G200 l4'AC. <br /> ^ / ' / / i L -1�• G—� / � J Z/� <br /> tii9naWre ___ _--- Uale —_—___ __—__ �/ <br />