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� ELECTRICAL PERMI� APPLICATION � <br /> CITY OF EVERET� PERMIT SERVICES � <br /> I <br /> 3200 CEDA:t STREET EVFRETT. WA 99201 I <br /> 425-257 8810 - FA;t 425 257-885 i -www everettwa org <br /> ; �-� ► -ID <br /> � APP�_ICATIONS ARE ACt:EPTEO FROM 8 AM TO 4 PM <br /> � L/OG S-0'�,(, <br /> I � � • �r ` �. t <br /> ; _ �__. -- <br /> i PROJECTADDRESS <br /> I \ <br /> �f ��[ � M�r� y.�iti� ��✓� tl,�r—{T �''� `�f )c��J _ <br /> �C vL �L� <br /> I Owner Mad AAN . s Gty Slate/Tp Pho^e <br /> ITrnant MBIIAddfP.S3 CM S�ate?�p Ph��ie <br /> � > > 7 <br /> � � �n ��� �� � t � < 177 �c ' )CC'`1 (,) � A ..� �._)C �rc4:tiw� ��� �'1�d� ��1�52_ �S S�S 27d� <br /> �� F:lec�rical CoMrac�or Mn�l Ar.dress f,Ay Stale2�p Phnrn. <br /> `� `�-,�� r.i <br /> � � � n. � �I 7 .I '1 ' G� �^ 1 r� <br /> �, :itate Lir.ense Number Coniracf Pnce o�Work <br /> I <br /> Proposed Use ol Buildiny Contad Petson (Plan Review) <br /> Descnplion ol Work�o Be Done t l. E(� 'cl,•<' '"�'o i t 1 � ,�•. � ( r'n �� n <, /r.�� II <br /> NOTE WIRING IN NON-DVv'ELLINGS IS REOUIRED TO FEE <br /> BE IN R�CEWAYS MC CR AC CABLE. <br /> CITV OF EVERETT LOCAL SALES TAX COOE IS�105 — <br /> I her<�Iry� i:rrLly fhdl I hpvr�r,��l dm'��vurrrnrd fhrs ;ipplirdfinn and Nnow lhe�snrne fn he bue arrd <br /> cnncrt 411 piovrn�inns nl Idvrc e,nil�vdin,mros guv��miny fhis ty(u�nl work wrll be r.urnplt,fetl <br /> wholhnr spe�.rh[�d hnre��i nr nof Ihe yrdn6ng ul d penrirf dops nul nesunre fn y�ve tlulhonr�r.� <br /> vrM,�fe or cencol Ihe Ivov�s�nru ul+Irry nflrHr sfafr ur Incrd law reyu�rtury conshucGon ur fhd <br /> peifonnnnrn of r,ansf�ucfion Th�f I Bm t�ufho�ired Ay Ihe uwnrr o!Ilrs prpperfy fo perlunn fhe <br /> wo�h!or wluch epp6cufron rs mntM end 1 comply H�dh Ihrr Sfalr Currlincfo�s L Fl�v iB?7 RCW end <br />' 796 200 WAC. �' ��� <br /> / � � <br /> %� 11 � --- S /�,�/�� 1Q <br /> Signel�ke ` .. ale � 1 <br /> . _ . . __. _ .__ __ .. . ._ . . _ . ___.__— _.- I <br />