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ELECTRiCAL PERMIT APPLICATION <br /> CITY OF EVERET7 PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> v�2C� ��. �\SIA�l� ��� <br /> PROJECT ADDRESS <br /> 1�c�.�-���T ��� i����. C�S� fl`�-- l� � l � 3 "� �l v� Sl� � I o � 0 _ <br /> OWner Mail Address Cily Slate2ip�{�jTL'��'��onu <br /> ' Z��Z� W . �.�S�NLi 'Q�� L.�.VC��c.��� w� �l��x(�T <br /> -�M N� r\E.uC� 1�.-t � <br /> Tenant Mail Address CAy State2ip Phone <br /> _-�€� �� ��n� �.�.�.���u�, c ��, �'.���,1 sE z�,�'� `=��r-,- 1���.cvu� wn � <br /> /���i' <br /> Eleclrical Conlracbr Mail Address Ciry Slate2p Pno��e <br /> n'1 <br /> 1 � <br /> -��tL�N�F,�. �. 'a-��y �� b, pc�� � SC�� � — <br /> Slate License Number Conlract Price ot WorV. <br /> Proposed Use ot f3uddm9 CoNac�Person (Plan Rr.view) <br /> Descriplion ol Work to �u Donr� _ ��_1 �:�;` . I_ f�-�1-.�-- � �� E-`� — <br /> I NOTE WIRING IN NON-DW[LLING:i IS RE�UIRED TO FEE <br /> F3F RJ RACEWAYS, MC OR AC CABLE. <br /> I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hrrrbt �rrtJy�Ihal l hove�oad.tnd renrnined fhis app6refion end kno�a fhe sanie tu be Irue and �� (.' �11 f' �� 1 � <br /> �uner.f All provrsron.,ol lews�nAordinunces gove�rnm�fhis type o(work wdl be cnrnplefed <br /> u�hethc�speci6ed herein or not. Thc �ranhnr�of a prnnrf does not`vesunie to give authonly fo <br /> viol�f^ur ca�wiJ fhe Innv�sions ol nny ofber sfate or local lew roguleGn�J construc6on or the <br /> pnrh,�nnnnr.e u!�onstrucfion That 1 nm e�rthorizeJ 6}-thc�owne� o!flus propnrty fa peilorrn fhe <br /> wo�h I��rhich epplicafion is nrade and I comply wifh fhe Sfale Con6ncfors Lew 1 B 2i RCW anA <br /> 29G.?011 WAC. . <br /> � � <br /> � � � <br /> � � <br /> 1���. � Iz; � � -�� �. <br /> l: �nr� � _ --- � , <br /> r,��n��i�-,� _�r.�i�-�— <br />