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ELECTRICAL PERMIT APPLICATION <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 /> APPLICATIONS ARE ACCEPTED FR061 B AM TO 4 PM <br /> �7�' � ( .;T �; r�� .��,I- �I�'l�'f- <br /> PROJECT ADDRESS <br /> " 7 � <br /> ,'�,)' (�J'r'r'/l� �;' �J % I��',) ��;%� ;�'�3?;[� � (-(.'�_�+�'r-1� �:U,,� ;�����,; �,' �_ <br /> �: , __ � <br /> Owner �/ Mail Addrass City SIa�e2iV Phone <br /> �1� — <br /> Tenant Mail Addross Cily Slale/Zip Phone <br /> ,/z ��- <br /> � � <br /> � �r�% (;�t� t��=C7J_/L /yZG �4'if.�S �41/�- �✓/��CEr� r.�9 y:��vi i�� <br /> ElOttrical ConUaClof hlail AdJress CAy Slale/Zlp Phonc <br /> 7 �: <br /> r' �r';� ,��< l 7ir� > ;� - ---- <br /> Slate Lir.onse Number Conlrac!Price ol WorM. <br /> � w !/. <br /> ��� �:-��:/6< <`� ) ;pY - f��.C,ti� � — <br /> Proposed Use ol�uilding Conlacl Pnrson (Plan Re+viow) <br /> Das:iiplinn u�Work�o f3e Dono: /Y 1�L� � � � ��^Ap9l� �/ii'Jl:C-j �;�/'.i?/:�— j /IV' L�`�c-�— <br /> tJOT[ WIRING IN NON-DWELUNGS IS REOUIRED TO FEE <br /> [3E IN RACEWAI'S, MC OR AC CADLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 1 � <br /> � r �^ iIi , <br /> I herobp ruriily ffmf 1 haee rond and exanwind tlus.ipplicn6on anA kno�r fhe semo lo bo frue anA ���� 1���1-'"� L1`.(t <br /> currerf All pruvisions�!la�ti�s end o�dinances goveming tliis fype ol work will be cornpinfed <br /> ��livlhrr cp��ilied herein nr nof. The�rnn6nc�o!n panul does nof �resurne fo gire euthority to <br /> viulnte or concel fhe Ino��Isiuns ol any other stafe or local lnw repulefing consVuction or fhe <br /> perfomience ol conslnicGon. That 1 arn euthorized 6y the rnsnor ol fhls!voperty to pertonn fhe <br /> work lor tsbicf+applicnGnn is medr, nnAl cumply wifh the S(ofe Confractors La�r 18 27 RCW enA <br /> 79f�.2001h'AC. � � <br /> � j -���-����J.i� . . <br /> ------�. . / .� <br /> : <br /> ) / <br /> - /� ./ 'o . � . <br /> _�-.._____�-�._'��.. __'"—_--- � --�-��' —'_ <br /> , tiinhalUlu � � l�ale <br />