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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org �p �7-O� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C ��U �'� <br /> liI �� �iG Jr��i �L �v'.'iC��� ��j��t=�� <br /> PROJE^.T ADDRESS <br /> �� i5� C����� ��'� ����s�> // r.✓�� 9�Iv3 <br /> OWner A1all AJdress Gly Stalo/Zip Phone <br /> Tenanl Mail Addross City Stalo/Zip Phonc <br /> �[ Cl/T`- �t�C Ex'�C ��. ��l/ Z��/�'/��' /�- G�ti<ritf�i�s !d� 9�ZS�� <br /> Elodri6nlCoNraclor hlailAddress Cip� Sl.de/Zip /i����.-Phar�e <br /> � (JS �i <br /> �-�4 l/�` / ���,� ��� .��.��' '�_-- <br /> Slato Lir.ense Number Coniract Prlco ol Work <br /> Proposed Use ol BuilAing Conlact Person (Plan RevieH) <br /> D�scriplion ol Work lo Oe Dono: ��' ,�v/�f'G�r ����7T S.� — —� <br /> NOT:- W�RING IN NON-DW[LLINGS IS REOUIRED TO FEE <br /> f3E IN RACEWAYS, tdC OR AC CADLE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 herebV�crtily fhnf I h,rc roaJ nnAexnmined fhis a�i(�lication nnd W�o�v Iho sarne fn bo fruc>anA <br /> com�c;t: All provisions o!la�rs m�A orciin�ncos,qovAnun,q fhis Ippo ol work will bo complofed <br /> whi�lher spaaGeA bercin o�nof. The grantinp ol n pennrt does nof �rosumo to gfve euU�onfy fo <br /> ��iolafe or cancel fhe vovisions of nny oUtor sfnfe or locnl law rogulafing consfrudion or the <br /> pedonnance�!cons�rucfion. 1'hn(I arn aufhon:ed bp the o�sner o/fh�s property fo pedomi Iha <br /> work lor�vhich applicahun is nuvdo anA I cornpl}��tifh Ihe Stote Conhacfors Lew iB27 RCW miA <br /> 296.200 IVAC. <br /> �_ .. <br /> � �:� � �/� % ��� � <br /> ' ��;r ( ���f- % � � <br /> �-�Si9riatura ��— U� —� <br /> � �� F �iIC� r30 <br />