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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-BB57 — www.evereltwa.org <br />APPLICATIONS ARE ACCEPTEG FROM 8 AM TO 4 PM <br />i , <br />i i <br />�� 3 Z ��' L.�/r.�:r1i_s s.• ; �� i-- <br />PROJECT ADDRESS <br />� --�.,-. <br />�-i/l72'I _�° af "L/r/�� Li /: y <br />OWnor � MailAddross <br />� L i / <br />i <br />Tenanl <br />,r <br />Mall Address <br />Elnciricol Conlractor Mail Address <br />+�L� lyPi� <br />S�ate Licr,nso Nun��bnr <br />j)_ � / <br />r,6�,+U� �7���y�' <br />Proposed Usc ol �uilding <br />Phonc <br />s��erz�o rno��o <br />�i"ZrS-2� b' • 3YG 6- <br />Slatr./Zip <br />PIWfIP <br />o '- <br />� � -- <br />CoNract Prico of WorY. <br />��� �.�' � <br />Conlacl Pe�son (Plan F2eview) <br />o�s�����ro�, o� work io o� o�o�: _��:it� 1�.� __ �jCyriDD/d ��li��'•� /a�P/i �IN�� c%s ( Z) <br />, <br />- �.��. �, �.,.�� -� r � <br />NOTE WIRING IN NOIJ-DWELLINGS IS REOUIRED TO <br />D[ IN FiACEWAYS, MC OR AC CAOL[. <br />CITY OF EVERER LOCAL SAL[S TAX CODE IS 3105 <br />1 hn�oby c �RJylhut 1 frace ror�d nnd ex�unin[rd this npplict�tion and Ano�r the sonic fo bn huv ann <br />cor�ecY All pro��isions al la�vs t�nd oreLnances go��ernni[� Ih�s type o! �roik �till bo comploted <br />r liettm� specilied herein n� not The �ian6ng o! o Vemuf dnes not �resumo fo �ive auB�onty fu <br />riclafe ur cancel tho ��ro��isions of eny ofhcr sfafe er luca/ In�s re�uletint� const�uction or fhc <br />pr.rlonnance ol cons iuction. Thaf I ent eufhonzod by fho o�rner o! this property fo peiform Uto <br />u�irk !or which applicnfion is rnnde and 1 cornply �rith fhe Sfofe Contrar.lors Lrn+� Iii 27 RCIV and <br />:46.200 WAC. <br />� � <br />, X�i �+ r .; <br />, <br />- _ . _ _ ----� <br />:+'�•�,�i���,. <br />-�1 / {: ,��, - <br />FEE � <br />_ . 'i .'�I <br />