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5 -i4 --o7 <br /> ELECTRICAL PERMIT APPLICATION <br /> �CITY OF EVERETT PERMIT SERVICES <br /> 320Q CI_DAR STREET, EVERETT, WA 98201 <br /> 425-257-8f�1�) - FAX 425-257-8857 -www.everettwa.org <br /> APPLIC<.TIONS 4RE ACCEPTED FROM 8 AM TO 4 PM <br /> PROJECT ADDRESS <br /> � � � Jri� T�� <br /> .'�� „ � , I . /AI ! ) � . i . i ��l ' (( �-'�� �ill�f' �� L1-/A`�,Sl��< ,�� <br /> Ownor Mail Addross City Slate/Zip Phone <br /> TenFln� Mall Address City Slate2ip Phone <br /> 1-1 <br /> �"C <L�';=/� ! rr � �i,'(� i .3r�`S %/ � /�ut � '-. /c�= .��J1 � c `fl `%�'�_� l <br /> EloCfrical Contrac�or f.1a11 Address Clly . f Slalc2ip Phone <br /> � <br /> ' ���` �C `,/- � ( 97 <br /> � � < ;- <br /> ; ; i: � ��i _ `% Il�. <br /> State Licrnse Number Conl�ad Frico ef WorY. <br /> Proposed Use of Buildiny Conlacl Person (Plan Review) <br /> i <br /> Uescription of Work lo Cic Dono: � c� � ' ,• � ; I i % � r. j :�< <'- /� / -CJ l 1 ;��•� �'� '_-'_-��� <br /> _ � l , �J< < � , -- <br /> -- -- ------------------ ' <br /> NO7[: WIRING IN NON DWELLINGS IS REQUIRED TO PEE <br /> E3E IN RACEWAYS, MC OR AC CABIG. <br /> CITY OF EVERETT LOCAL SALES TAX CODE iS 9105 <br /> I herrhy cmtily fhef 1 ha��e�ead and exnrninrJ fhis nppbc�6on nnd kno�r(he seme to he hue ann <br /> r.orrecf All provisions olla�ss t+nd o�dinences govortiiny fhis ty�pe o!�rork will be conlplefed <br /> �rhethri speulied herein or nof. The grentinr�o/a pamR doos nof ir�sumo fo give eufhority to <br /> violafa or cnncel the �rovisions of eny ofher sfafe oi locnl Imv repulefing constnicfion cr fhe <br /> peifnrmancv oi cons�rucfion. rhal l nm euthorizeAby fhe o�rnor o!ihis property fo pedomi tha <br /> Hork !or ivliich npplicati�-n is�r!a�10 anAl compty�s�ifh fhe Statr. CunVactors Lew 18.?7 RCLY and <br /> 29G.200�l'AC. <br /> _ - � ���i. � -� <br /> Sinrv.�ture Uate <br /> t- � 1u5 � 4v <br />