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- -- - � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SE�VICES � � �� <br /> 320'1 CEDAR STREET, EVERET7, WA 98201 a ` <br /> 425-257-8810 - FAX 425-257-8857 - www.everellwa.org <br /> C o6Dz-o�9 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � <br /> / 7/.� �'GI. �� /I� � '�, S' / <br /> PROJECT ADDRESS <br /> t�� 1 <br /> �G'`) - �.' <br /> �/l CL•.cly��':/nc� �D/i.���_ Hcl� �S____ l•i/} J�Gt� � _ � <br /> Owncr Mail AdAress Cdy Slale2ip Phunc <br /> !�•' .______ --- <br /> TCO�nI Mail Address Ci�y Stale'Zip Phonc <br /> �%O�Sf i 0.-r� � �� �Ca ��� L __ <br /> [It!c�rical Contrac�or A1ail AAdress Cily Sln!e2�p Phone <br /> /'✓I U/',� L-- �U ? 7,�/i Sa U `_ <br /> Slate Licensr, Numbr.r Contracl Price of Work <br /> f-�;�.,.,� C`a�?a�J' L — --- <br /> Proposed Us of Duil�� Contacl Person (Plan Ruview) <br /> Ucscription of Work lo �e Donr: lyc��� � e i ���+ � � � '� �f�C.j/r _ <br /> P/+� v/ S �C / /iN� C / s-7 �i4li',f. ..a � Gloti -� <br /> NOTE WIRING IN NON-DWELLINGS IS REQUIR6D TO FEE <br /> DE IN RAC[WAl'S, A4C OR AC C�BLE. <br /> —� <br /> ' CITY OF EVERETT LOCAL SALES TAX CODE IS 37(IS <br /> I h��rrby rrrfrly fh.rt I h.ivr m:vJ nnJ r�arnined fhu�vppbcahon.�nd kn�.n� fhe srirno lo be truo�ind <br /> niner.l A,l prunsians ol L�u�s nnd nrJinan��es g�rr��mrnq fhis fype o!�rork �rill be complefrd <br /> �vlie;hcr sper.i0ed herein or n�V. 1�he grnnGn�o(e prmuf AooS not n�sumn fo give nuflt�rify f�' <br /> violefe or cancci Ihe/�rovisions ol any ofhe�r sf�te o� loral law ioguGihng consVucfion or fhe <br /> ��eilormence o(r,onsfrur.fion Thaf I arn ni,thorimd b}�fhe owner o!this property h peAorrn th�� n,� <br /> H�ork!o� which applicafion is rnadr,�nd 1 comply wdh fhr Stafo Confrac(vs Lew 18 Zi RCW mrd �(�' <br /> � 29fi.200 WAC. <br /> � J �7 , <br /> � .� //�'i,Z.�it J' � � ���� O <br /> ��11-.—_ — _ .__ .. .._.__ —__ —___ ^ ^ <br /> iignalum Ilite �` ` 11 <br /> UvV <br />