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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 - wvr,v.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �Z �/� � <br /> �� Z�1 � C`_�tsitio �� tu�r�e.rr ���,�r, �>nU <br /> PROJECT ADDRESS <br /> �"A�`����11U1J�i,'� �-�-C- 23�a� �-Iti5� �i:��—d�-����U� �`6 U�'L 7�•'��11 S4�j <br /> Owner hlail Ad 4ess Cit;o Slale2ip Phonc <br /> Tenan� tdail AAAress Clly Slate2ip Phone <br /> � (� � �� � rL I , � <br /> �'�"�'��.0�-Cd1:La-i'_AL�.11.L���l�..:..u�s�.�r�� ��w 1-_`�.�1�� '�JA ���J '1J�J'i11.51�) <br /> EIOCIflc.tl CoNfaclor Alnil AAAress Cily � SIa1�2ip phonr <br /> �T �Te, � ��l la vC . ��� ��l�i� <br /> Slate Licansc Numbcr Contracl Pricn ol WorY. <br /> M��, �=��,�" �1 )WCLI.\NCs c,,, ; ,�.�.G�� <br /> Proposod Use ol Buildin� Conlact Pcrson (Plnn Rr.vicw) <br /> r` � �., <br /> De�criplion of 1Nork b Bc Dnnr.� �L'�v _�{j,p11;�Q��n��1�„�ti�, � _c3��yy,,.:�---...-.---- <br /> NOTE WIRING RJ NON-DW[LLINGS IS REDUIR[D TO FEE <br /> [3E IIJ RACEWAYS, MC OR AC CABLG <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hrreby�r.r�Llp fhal 1 hn��c road nnd rxaminrd fhrs.ipplicafion nnd knc�s Ihe snme fo be hue rind <br /> conecl All p�orrsi.�ns al lon s anAordinunces go��eming G;is f}�pe ol�toik u�ill be cornplefed <br /> whollier speci6ed bn,rom or n�,f. Thra guinfin�ol u porrrrd docs not nesurne fo gire nufhon(}�to <br /> violnGe or canu�l fhe nor�sions o!�ny ufhrr sftifC ol IOCAI Ifl1Y I�gll�afmg ronstruction or Ihe <br /> pedo�mence ol cnnti�rur6��n Thnf 1 nrn rtufhonted hy fhe rnt�ner ol fhis property to peAomi fhn <br /> wo�k lor �vhir.h epplicehon�s mndr nn�H rnrnpl�-trf(h the Sfefe Confrncfors LFliv iH 27 RCl4'and � <br /> 1962001M1'AC. % ,�' � <br /> �� - /' i <br /> � I <br /> � " � � � � <br /> i_ i L -l„ C� � � <br /> - -- - --- — -.. _.. — ——----- <br /> tiipnalinn _..� ._ _ . Udle <br /> � / <br /> I <br />