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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEkETT, WA 98201 <br /> 425-'L57-Ei810 - FAX 425-257-8857 - a.,vw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROA'I 8 AM TO 4 PM <br /> —��) 1 <br /> ' �' �X C l�C; J �\G <br /> PROJECTADDRESS ^ ' �. ;� <br /> 4'z � � � � <br /> ' S�� � <br /> � , � �, < <- � 1 �< < � ,��,,�-�-1- c.� A y � , <br /> Owner Mail Address C�ty S�ate/Zlp Phonc <br /> Tenanl Pdail AAaress Ciry Slate2�p Phone <br /> 1 <br /> t�N��. C�e,� �.2(I`j rt, ��'ry Lc.n e- ,.���n�1'o�� l.� I� `76 � � s <br /> EleCirical Conitac�or Mail Address City r— SlateZp Phone <br /> '� 1 0�' <br /> �Jl 1 li:'_ � C `I �� !i i �� _/ /�i� <br /> Statr Lir,ense Number Conlract Price of Work <br /> I1� <br /> h�" �,�".� ��i' P <br /> Proposed Use ol Building Contact Person (Plan Review) <br /> Description ol Work lo Be Done: S\�' 7�r, � 1�.� I{ `)� � �- �. �.�� Gr, ��t_.� �.i i 1 I"� 1-<<� <br /> �� � I� i�/,.,,.u_�l l , ii �.- � �i CK'S� � �1/Ihl I .a��hia� 1%- i�-L��n� 1 �! �7/I��T� �v �'I� I������ <br /> f T <br /> . `, � - ,i„- =�1__-_ <br /> L..�y_j- --- <br /> NOTE WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> EiF I�J RAC[WAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br /> I h�u�by r-rrGly fhaf 1 hav�����od.md��xnrnined Ihis app6rnhon nnd 6n�nr the sante to be frUe and <br /> ,�vo�;t All provicn�ns��l la�ts and ordin,inces ga����rnm�j(his f}�pe ul nor6 wdl Ge completed <br /> �rhefhc�speci6��d hmmn or nof. The�rnntmg ol n permd dons not vesume to give nuthority fo � <br /> i�iol�le ar cancel fhe Ivovisions ol any olher sf�fe orlocnl law regufafing consfruction or tlre <br /> p��rlorniance o/consf�ur.tion. Thnf 1 nrn aulhorized by Ihe owner ol fhis p�operty to pedomi fhe ,( � <br /> �rorh lor which applicvtion is mnde and I contply with fhe Sfnle Confracfois Law 18.27 RCW end � ��� <br /> 296200 WAC. <br /> (� � (' � � <br /> �'i� , (' !' �' � ���� '. Ai •_-� {�� .� l r f, �� <br /> .- <br /> _ _.. _. _'-__-__._'_--_-__- ---_ <br /> � <br /> .�i.�n.tlum � f at� <br /> � . _. . . .______-__._ ._..'_._ <br />