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ELECTRICAI. PERMIT APPLICATIO(V <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREI"T, WA 98201 <br />426-257-8810 - FAX 425-257-a857 - www.everettwa.org C/ - a O-�� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM G'�O/D�/ -�� / <br />� , ,' ..1 �J��. ' <br />PROJECT ADDRESS <br />, � � <br />� r��c� � // /%Z' %/ �-'� ' ' '--- -- <br />Owner Mail A�ldicsv <br />1 i 4� !Y � � � <br />:�� li '�� I."I lf l �' /'� � � <br />__� —___— <br />i ananl h.t:�d t�n�ii„ss <br />Conlrerlor AIaJ AdAress <br />Stalc Licensr. Num6cr <br />._ <br />Propasad Use ol Ouildiny --- <br />Description o( Work lo �c Duna. __ ___� 1_! <br />' <br />t � <br />� <br />Cdy. <br />Cny <br />si,i�� z��, <br />Slok�'Z�p <br />titalc'Z�u <br />Conlracl Prico ol WorV, <br />Contacl Pcrson (�'lan Revicwl <br />/ <br />�'nonc <br />Phnne <br />Phonr <br />NOTE, WIRING IN NON-DWELLRJGS IS REQUIRED TO FEE � <br />(3E IN RAC[WAYS, A1C OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />f hrrrby� <<�rhl�� Ihrrt 1 h.n-r road nnd eaaniuicd this npphcafion nnd Fnu�r fhe sante fo be truc nnA <br />�.,nrcl. �il pi, n-isions nl Id�ti�s 1inJ ordinancrs [�overninij fhis f}�pe of work �t�dl be complefed <br />�1hc�(Rer spr;��h��d hemm nr nnl. Ihe granlin� o!a porrnd Aoes nof vrsume fo c�n�e c�uthunty to <br />v�olrvle or cancol fhe r�rovis�ons ul any ofher sfate or local la�v regu��6ne� consVuclion or fhe <br />peiforrnanc� .,i �: nsfiuclion. That 1 am nufhonled by Ihe owner o! Ihis property to pertonn Ihe <br />�vork lor �+�hich applrcahon is mad�� and I compty «�illr fhe Sfatr Cunfracfors La�v id.27 RCW anA . � 1 <br />2�fi.200 W�7C. ` � <br />1� <br />� �� <br />',�,�r�, �� �� r, 1 �i�/c:�� �.��; <br />-- `.,,,,.,, ,,., ,,,,� � � <br />yv <br />