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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320� CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.evereitwa.org a -a 5 -� B <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C'�g��Jl I� <br /> —�/9 �Z� ------ <br /> _� � <br /> PROJECT ADDRESS <br /> Owncr -�----- Idail Address Clty Slaleilip Phonc <br /> Tenanl fd.iil Addiess Cily tilateilip Plwne <br /> z7 �b'� '�S'�.� ���1�'� ��l ��?W Ya <br /> �,�.�.5 ���ll' ------ - � -- <br /> Eledrical Contractur tdsii AAdicss U�� StN��rZip Phon� <br /> 9 <br /> ,����� �z �� ���` - <br /> Stato icenso Nurnber Contracl Prico ol WorY. <br /> � � �1� �c��'o`t� -- — <br /> Proposud Use ul Ciuilding Cunt�cl Person (Plan Review) <br /> C���" t�=K S'� %�i<<� 5���' �'�('-'�`t` <br /> Desai�]'�n ol WorF.�0 6u b�me� � __ <br /> 1 �� �v �Dd� v� <br /> NUTE: WIRIIJG I�J NON-DW[LLIN�5 IS REOUIRED TO FEE <br /> DE IIJ RACEWAI'S, �dC OR AC C�6LE. <br /> CITY OF EVERETT LOCAL SALES'AX CODE IS 3105 !, �n19� _//� <br /> 1 herohy re�ti(�-fhat 1 harc ruad nnd ex�rnin�A fhis applico(ion nnd krrow Rio semv to te fruo nnd <br /> �y�l/ <br /> corrocf AB provisions o!la��s mid o�Ainnnces govemma fhis fypo ol work will be cornpleted <br /> whe(her speciliod herein or not. The�rnnting o!a pornut does nof nesume fo gire aufhonty fo <br /> violate or cnncel the I�ro��isiuns o!nny ofher s�nte or locnl Inn�rogulafing consfnicfion or fho <br /> pedominnce ul consinicfi �. lhnf 1 am nufhorizod b�-fh��o�rnor ol th�s property fo perfomi fho <br /> work lor which a qvn s maAe nnd I compl}��rifh fhe Stnte ConUocfors Lnw iB.27 RCIM1'enA <br /> 29G.20014'AC � <br /> -- -- ----_ __ --.. -- ---_ --------- <br /> si�:nn��na Im�e <br />