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ELECTRICAL. P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, �VERETT, WA 98201 <br /> 425-257-SA10 - FAX 425-257-8857 —www.everettwa org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> , <br /> � �/ � y.+4't- . <br /> PROJECT ADDRESS <br /> � � -r � � <br /> .,�i � �� 4 ,� �:> I i I� �:.�:'C. (v�,t4!-� L r3- �j �-�� <br /> Owncr Mall Addross Cilyt Stale/Zip Phone <br /> ✓�(Q �/c� -- -- <br /> Tenanl Idail AdJ.ess Cily State/Zip Phone <br /> , -- /,�� _ �:-� zv r �5-,,y <br /> � .Li �ls�� � ��V`-`�T l-Y.�%-'�� 7c�c%'/'� (�/ii7 �i1-�'� �1�) ���140111 ti l"J. c1���'�iv <br /> Eludrical Conlraclor Mail Address ity Slate.iZip Phone <br /> i � � � �� <br /> � cl '���-' %- `l�1�! �:�-� �,J(�� <br /> Slale License Number Conlract Prico ol WorY. <br /> 1 , � � _ � <br /> Y-C�i /.�[-r".i� L' �G' i�� ��i/ �i :�r.'it%t s� <br /> Proposed Use ol8uildinp Conlacl P�rson (PI n Review� <br /> �/7S -lc/_t" 7A-Caf <br /> � �7-- <br /> Descri�lion uf WorA to�e Duna: � )�'t�� � �/ <br /> � �EY%" ��j')� �1�-!'�CE' ��Lu`C��7 — �.G t-� i��C:'1— <br /> IIGTE: W IRING IN NOIJ-D�ti�[LUMGS IS RFQUIRFD TO FEE <br /> f3E IN RACEVVAYS, hiC OR AC CADLE <br /> I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 herohy cortdy thaf 1 hare ioad emd erem(ned this nppGavfion and knon�the sarne fo be true r�nd <br /> cnrrncL All provisrons ol la�ss and ordinances geveming(his type ol irorF �rf6 6o completed <br /> nhcthc� specilioAherein o�nnL Tlm�ranfing o(a pornut doe�s nof nosumo fo give a�dhonty fo <br /> ��iolate or cencel(ho �rovisions o/t�n��ofhei stafo o.�local la�s re�ulnGng cnnsfrucfion or fhe <br /> peifom�nrrce o!cons�ricGon Th�V I tun nufho�r.c�d b}�fh�� c�tine�o/fhis pruperty fo p�3donn!ho <br /> �.sork lont�hich app6r.nhon��,nr,�Je nnd I cornply��ith fho 5(ate�Confrncfors Law 18.;�?RCW and <br /> zsr, zoa w�ac. <br /> �` �, ,. �, - , �, ��. �;;:: , <br /> ' � �_.__ --- - ---- —. _. <br /> � Si�na�ur�� , �_.-�UatF _— <br /> ��`/� � ��'� <br />