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� <br /> 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.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> f ��y l"✓' �eriwo '.� �'� <br /> PROJECT ADDRESS <br /> / ���_LC�,�r1�� _'SZ�7J le�s�t r S7 �Ki!`l, C!//Q %��� <br /> OWnor h1allAddioss Clty Slate/Zlp Phona <br /> Tenanl Mall�ddress Clly Stale2lp Phonv <br /> _ .S �/� <br /> Electrical Contraclor Mail Address Clty SlalelZip Phore <br /> �'I,Oi�L 0� �is ,���- �.�. ��no�- <br /> Stale Lir.onse Number ConUacl Price of Work <br /> .�'r,,,.� /i�r .Srn-��� _ t�,���/11�,.��.uti `l�3 <br /> Proposed Usc�of Buildin� Conlact Porson (Plan Revlew) <br /> ��� i,.Sl� �J/(J <br /> Doscriplion o�Work lo Or.Uun��: _�s.��� �p��/�[-.0 /'i(ly�Y.t�,_ l'�t.vi <br /> NOl l WIRING IN NON-DV1'[LLINGS IS REQUIRED TO FEE <br /> EiE IN RACFWAYS, MC OR AC CAF3L[ �. , <br /> .,]� `,'`� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS �105 <br /> I heraby rorGl��O�nf 1 Iravo rend anA exnrnined fhis applic.�lion nnd Mnow fhe seme fo be fn�o enA <br /> cone�i �II prot�isions u/lan-s e�nJ onlin�nc�s g��rrrning fhis type o!e�ork will bo complefed <br /> �rhefh�v specilied hivvi��oi nnl Th��rnnfing ol n pnrrnrt does nof �,esume fo give eidhonty fo <br /> violafo ui cani el fhe�uovisicns ol eny ofher slnfe or locallpw rt!gu�efing consfniction o�the �� �� <br /> perinmrancc ol cuns rucfinn Thaf 1 em eufhorizcd G}�tl�e owner cl fhis property fo pe�fomi flre „ / ,) <br /> �sor� l�n n-hich applicahun is rnede and I comply�vith fhe Sfnfe Confrac(or , Lew 18.27 RCW enA �"� � ' <br /> 786200 lM1'AC. <br /> �'"� �� � <br /> --�-�f.1/ r ,. L _---- - � ' iY - /�> <br /> qn��ild�e Dale <br />