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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERFTT PERMIT S�RVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br /> APPLICAiIONS ARE AGCEPTEQ FROM 8 AM TO 4 PM <br /> l J� /• (� 11/ , `J ) <br /> �� � � ��i�..1 ��C� C C^ �) �! � � �i/(� �_ ���1� '- <br /> PROJECT ADDRESS <br /> �r �_�_������e.' �S<`�� �L�t)-L-Lt1- �w-'_�r.i ��� �llZte.� w� a��3 �GS"LL�7 �/ � <br /> pW���� Mail Adtlress Cny State/Lp Phone <br /> <�,�,_ ��l: r;.,., �> � r �+ w� Ns����� 3 yz5-z.�s �� j <br /> ; _��:�,��,ti,�. � �, �;eC�' <br /> J-:— �5�------- <br /> Tr.naN 6Lnl AAJn•ss Cdy State2�p Phone <br /> __--__—.__.___.__——_.__ _.._—___--_ — --- <br /> Elef.lnCal Cuntrnr,lur �daJ AdArc:�; Cdy SlatelZlp Phone <br /> Sl;dc I.ir.r.nse Numt>er Contracl Prico of Work <br /> Propocad Usu ui dwiAirg Conlacl Person (Plan Review) <br /> Ucscrip�ionolWorkloBeDonr� (-�`. �,���• r-. c_ �'lCr���-'F; P�;.y�P_ \� InS{'o, � I 1'C' C�' S5c_c� <br /> 11< �\ nlr^ '� I�UC �Ul.��__'SUl ���F � c�l\ri O ' t- 1 S - <br /> c�l�_ 1�-------5--�— <br /> NOTF WIRINC IN NON-DWELLINGS IS REQUIR�D TO FEE <br /> � 3[ IN RAf[WAYS, MC OR AC CABLE <br /> � <br /> �I CITY OF EVERETT LOCAI_SALES TAX CODE IS 3105 t� <br /> � �. 1 hr�rbv�rrtdy fhal l nu�r�o,iJ rind e�x;Innnod thiti appLraG�m Und kn���t fh�� came fo he Irue q��d LOIL !•`-�-Uc.�� <br /> � � � on�c( Atl procisn�ns,I l�nrti anJ uNin�mces 9nvrmun�fhis fyp�•of n o�F wJl be comple6�d <br /> . �vhefher specihrJ herein nr nut The ��nnfntg ol n pemid duus r,��t ucsurne tu grve atdho�ity fo <br /> violafe or cancel fhe rvovisions ol any oUier stafe or I�+cal law iegu�rting construc6on or tl�e <br /> podonnance ol const�ucfion Tha(1 am authorited by fhe avner o!fhis property fo perlonn Ihe <br /> work lor which application rs ni�de and I corriply�wrth fhe Sfate Conhacfors L��v IH.27 RCW and <br /> I 296.200 WAC. <br /> ! - <br /> '�� //. / <br /> �'� �, r�( Lflfll'�I_ — y��>�( /, <br /> —. ,' ��na�we '� — uatr� ----- —�— <br /> I <br /> I <br />