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ELECTRICAL PERMIT APPLlCATION <br /> CITY OF EVERETT PERMIT SERVICES �,- .� 4-u <br /> 3200 CEDAR STREET, EVERETT, WA 98201 — ;����_i v y <br /> 425-257-8810 - FAX 425-257-8957—vwvw•everettwe.or9 " <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 RM <br /> I o31� A�K�r `�aa,� <br /> PROJECT ADDRESS <br /> CiIY Slele�LiP PhOne <br /> QWnef Mail Adtlress � <br /> ? � � W �l LtZQ� <br /> Te�ant <br /> Mall Address City �idlaZG PhMo <br /> ,� sy..--v s�F, �a �e�gM z,x.:�ec- „� <br /> �;� 3�23 � n�n -�� +N�'^ s�atarz�v vha+e <br /> EICCf(iC81 CAntfBGtot Mail Addre&s C��1' . <br /> r <br /> ��5"L� �G 1 v� <br /> V� Oontrect Pnce of Wortc <br /> Stste License Number � <br /> �a.�Mi'f`��L Comtact Person (Plan Reviow) <br /> Proposed Usa of Building <br /> pascription of Work to Be Done: b�� � � <br /> .7 ls^ ?P� � '7�' <br /> NOTE: gERN�CEWAYS MC OR ACICAB EUIRE6 TO <br /> FEE <br /> CITY OF EVERETT LOGAL SALES TAl(CODE IS 3105 <br /> I hereb eNly that 1 heve re and examined tAis applieatian and know tMe seme to be We and \ `� <br /> cone . 11 provisions olla and ad�nenti�n Sofa permrt does aoP resurt�e tob0i e auN��airy to � `� <br /> whe er eciCed�erein or t. 7i;e gr 9 <br /> viol te or ancel the roN ns o�any ofher state or local law regu ating consWcfion or the� <br /> pe orma ce oicons�ucf - Thet I am aufhonzed.�bYthe Sf�e Cont act�r�w 18p27 RCV V antl <br /> � w rk for hieb appllcaG s mede and 1 eomply �� r <br /> 2 6.2 WAC. <br /> �� �� /I 1 <br /> SiBneture <br /> te <br /> ��,i�, �� �ssti ��m ��N: 'sw3isn� a3Mod N33��a�n3 waz5 �� < < �oz �bz ��e�� <br />