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--r <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200CEDAF2STREET, EVERETT, WA98201 y � 'i0-�9 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org �,�0 y _z 5 3 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 3�y � (�'ti /t,5r�.+.a r t,re� ���''r � � � <br /> PROJECT ADDRESS <br /> � �P.�O ��� ��r � �d'.-.;,�. �.,..�' � �-� 1 <br /> �� Cily Stata2lp Phone <br /> Owner Mail Add�ess <br /> so �d'�t�' r � <br /> .1 ,� 3�r �Y � C,�-�,�-�. � �..�t-� �� <br /> Tenar.l Mall Addres� Cdy SlalelLp Phone <br /> ,,j�i-„o-,a' ( o Z �o � /'.��«�q � \V'�. 6� s�1c....a,�.. <br /> ���A y � Mail Address Gry State2ip Phone � <br /> Eloctrica� �. <br /> ��/HCG�� �b � "�`v - co��a����w� � <br /> Slate Licenso Numbcr <br /> �o'tAL^�"L„--v_n <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Bo 7one: ��'�f`� l ( 4����T � 9�'*"��-- "'"� <br /> � <br /> -� ���_��� ,(/�e.J C l V\ O�- <br /> /A/ // �w <br /> �^T.t��T�Y- '� ��-"_�� � --- <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RAC[WAYS, MC OF AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODF IS 3105 <br /> 1 hereGy cedily fhaf 1 have r 3aA end ex�mineA fhis epplicetion end know fhe samo lo be We end <br /> correcf. All provisions p!laws end ordinances govemmg fhis type ol work will be complefed <br /> •�•�•�th�rr spociGod herein or not The granfing o!e pemuf does nof resurno fo give authonty fo <br /> Iviolafe or c�+ncel fho provisions ol any othei sfate or Incel law reguPfing consfrucfion or fhe <br /> perlormance o/construclion. Thaf 1 em eufhonzed 6y!he owner o/this property fo peAorm the <br /> work Icr wh�ch application i:,made and I wmpty wifh fhe Sfefe Contracfors Lew 18.27 RCW end <br /> �96.200 WHC. �'7 <br /> / <br /> Sign o — Da e d � I !� � <br /> �1�� . <br /> , <br />