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ELECTRICAL PERMIT AP'PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> �,03 -a � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> , <br /> C- o � oy--iz9 <br /> � I /� ��,, i�� �� 1� �� 1" � :�. �/ �l r9 ��F�'os <br /> PROJECT ADDRESS <br /> 1 � �> , ►," , , _ f.(_ �� �q `�d zof� vz s 7 S`sz� <br /> �� ✓` 1 � I�l` i.} - � S G`��Ii �(�1. ��'I' �LN v Y <br /> Owner Mail Addross Ciry Stale/Zip Phone <br /> Tenant Mail Addmss Clly Staln2lp Phonc <br /> �W7Yr <br /> [ledric:il Conlrnr,Ior-- -�--�� G1a�i Addres: -- ------------ City --- S�atuZip Phone <br /> S�a�o Llconse Ninnber Conlr�cl Prir.e of 1'Uork � <br /> Proposed Uso ot Bullding Contact Porson (Plan Review) <br /> Descriplion ol Work lo Do Dane: W�'Y- G!�J- C-� �� u I � S tL� '-�`�k S� n(�t..� �'�>!ul $ <br /> Vc��- /h��irr(UJ �"z l �� Qn U �!e Gf Y ����r�.�� f Li � cx�of�.00.'�t � �h'{tic �ty-7 �n S <br /> _��� �•� �� ��� _ <br /> NOTL": WIRING IN NON-DWELLINGS IS REOUIRED TO FEE <br /> DE IN RAC[WAYS, MC OR AC CAE3LE. <br /> CITY OF EV[RE?T LOCAL SALES TAX CODE IS 3105 <br /> 1 hewby r.arti!}�Ouif I ha��e rend nnA exnmined this applicafion anAknow fhe seme(o he frue nnA <br /> cormcf. All prowsions ollaws anAordinances govwmng fhis fype ol work will bo cornplefed <br /> �rliethnr specilied herein or nol. The granfing ol o ponnrt do�s nof �rosumo fo give euthonty to <br /> �-iolalo or r.ancel the provisions of eny other sfate er locnl It�w reguleting wnstrucfion or fho <br /> peAornronr.e o/conslrucfion. Thaf 1 em authoiized by fh�o�sner o/fhis property fo perfomi fhe <br /> �soik!or which applicnfion is made nnd 1 cnmply�vifh fhe Sfnfe CenGncfors Leiv 18.27 RCIN onA <br /> 79G200 4Y'AC. - � ` <br /> ! . � + �'�;. ..' L � � ��/� � � � I � � <br /> �' L. L�-/- ` ` � G J � ��� <br /> s�f,��;�i�,<<, oeie ; <br />