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ELECTRICAL PERMIT APPLICATtON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, �VERETT, V��A �JB201 (p - a�`O Ij <br /> A25-257-8810 - FAX 425-257-8857 - www.everettwa.org <br /> � obro -►59 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �:(_ '.��� C �;�:..ic-�i, ��L�� dQ��' ; •ir'.9' :[�.Q <br /> PROJECT ADDRESS <br /> � � � �fI'?Ts7 <br /> � (�' / � � �� � C'�..�.v,��> f"n// �r/,a j�.�Ls.2 <br /> J✓�. �� � .:� �i�S� , �n ' � .�c, <br /> Owncr Mail Address C11y State/Zip Phonc <br /> Tenant �� Mail Address Ciiy Slato/Zip Phone <br /> _ , <br /> � '�.,/�� ���., . <br /> --�.. ______.— ._______ .. _.. . ____ _— __...____-- <br /> rlCCllif.;lll'.OII�l:1fAUf F.1dil Ad.hrss ('i�. Stnlo'Zip I'hoilC <br /> Slatr, l.iconsn Numb��r CoMract Prico o(WorV <br /> P�� � I�>�J-C <br /> oscA Us,ol Buildin� Conlacl Porson (Plan Revir.wl <br /> D�scriptwn o�Wcrk In fi�� pnnc- � l/�"f��G�C1 LdZ'� l�. _ <br /> IJOT[: WIRING IN NON-DW[LLINGS IS REQLIIRED TO FEE <br /> E�E IN RACEWAYS, MC OR AC CABL[. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> 1 h���rby�c��rtdy th,�f I ha��e read nnd exnrnined(hIs applicn6on and hnow fhc� snma fo be 6ue ond <br /> r,ir��rl All prov�sions ol la�vs enA ordinances govemu��fhis fy�pe o/�sork will bo complefetl <br /> �shathrr sper.i6ed he�cin or nof. Thr pran6ng o!a pennd Aoes nof p�esume fo gi��e eufh��;y fo <br /> �iolafo o� cancel fhe`�rovisions o(nny o(her stafe Of IOG�I IBlS'fCyl/IaGnp ronstrucfion oi t��! <br /> pedonrtanco of cnnsfrucGon. Thet I Eim oufhoilzed by the mrner o/fhis propert}�fo pe�fonn fhe <br /> work !oi which�pphct�fion is made snd 1 cornply�rifh fhe Sf�fe Conf�actors Lmv f U.27 RCW and ; �1 <br /> 79G.200 l4'AC. <br /> i � <br /> � <br /> _ _���/ � ��� � --' /n -/P - �� I <br /> � <br /> Si(�n lure 6 —�` Data <br /> � <br /> �� <br /> _ .__..—_"____ -- —� <br />