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/ <br /> - -� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 - www.everettwa.erg <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM I <br /> ,_-__ -;-, � � � -1 <br /> ; -�� , -�,��«�r� �t rt, <br /> PROJECT ADDRESS <br /> � � �� 1 � �.' _ 1��1 � _Jt/J! r -- — - — <br /> Owne� � h1a�l Addruss Cdy Slate/Zip Phone <br /> �.����i.� . <br /> 1 nn;int P.1ail Addres-s Cny Stato'Zip Phone <br /> �- �� �_. L:LG,� '��j�� �_ f�CIC�.d�Lt-C%y �J�%c' l'.�.�J�t.r�G�� �C�.S� 'l�•�3�'�6(�•:;i <br /> Electrical Contraclor Mnil Address City State/Zip Phono I <br /> I <br /> . ,./ , �'L. . <br /> L=�'�C" Cr l v-i `1/_� Jl ,C� �'r�� <br /> Staile Licr.nse Number Conlracl Price ol Work <br /> � (�i'J� <br /> �. L -� '�( ")1 / ! A '_ i -' lti�. a �,� <br /> Proposed Use nf �inlding ConL:�ct Person (Plan Fievir.w) <br /> Uescription ol Work�o Be Done: _� ,` /c-��;�L� __�j.-�•Lr J .�.:: i/ �j�':'�Za c-:� �� �e <br /> =��� ., y. f�:'; r'1�,. ._� �_.'r.4 !Lr✓ � Lv' ���I c� �,J-C�.� !.�_!_I' - V/r C.i !t'� U[/ �> <br /> �� <br /> NOTG WIRING IN NON-DW[LLING:i IS REQUIR[D TO FEE <br /> BE W RACEWAI'S, P,iC OR AC CA�LE <br /> CIT'r OF EVERETT LOCAL SALES TAX CODE IS 9105 �CicrC SS- Oj� <br /> I hrr��b�� rrmlp ffi,�f I h,nr rr,��l�inJ r,,mm�oJ thr, dp��6:�r6�+n ;md Ano�r fhe sarne fo bo true and <br /> ,�.nnr,.l All pr,�usi�ni. �H Id�t, ,ind��rJ�n,inrrti g�ru�rniny Ihis 1}�P�'of�vork tsdl he cornplefed <br /> u�fudher specd�rd h��iivn ri n�l Thc�7i�in6n��al a permd Jor:; nof vesunm to��ve�tufhonty to <br /> violnfe nr crmcel pir prucisnms uf any ofher sfate or loa�l law mguf�fmg construcfron or fhe <br /> pe�iorrnanre ol conshuchon That I nnr nuthouicd by fhe ownrr ol tlus property fo pe�lonn fhe <br /> work (ar which app6cafiun is mnA�and 1 conqily�sdh f!m SL�h� Cunfradars Law 78 27 RCW arrd <br /> 2sr zoo �vnc. <br /> . , <br /> � (. _ . /a�:-, �'� _i;'� ' <br /> - _-- -- — — — — _ <br /> :au�,aium - �f.,i,. <br />