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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVEF�ETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ' <br /> 425-257-0810 - FAX 425-257-8857 -www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��i'l� L�.�- �:•rSll70 /t0Q l� _ <br /> PROJECT ADDRESS <br /> OWnor --- I,fail�ddress -- Ctlp ��a1clZlp Phone <br /> �rizorJ ___ 2Gio c� Cvs,�-,o �u �vrKr .N Wa <br /> Tenanl Alail Addiess Cdy Slalo/2ip Phonc <br /> S�S. .7h�• �i�fG' � ll - /�/oC /��1�<<Y,J l�) �1 /.�t,�t���/ WA �� Ic�G 7�> -1�3G <br /> EICC�fic:ll ConifaClof F.tall Address Clp� Stale/Zip Phone <br /> Sf.�.7/l)!l�-� 4�() k'l� y„ 7s,� �„ <br /> _�P <br /> S�ate Liconso Numbcr Contracl Prico ol Work <br /> 1fH11NUyi I/�� _ <br /> Proposed Use ol huildiny Contacl Person (Plan Revicw) <br /> Desr.ri�rUon nl WoiV,to �o Uon��: .%l�5/!r�/ /�l�'f�[/G�t� �1� 1-/flY[��( �G�G"�__,_T_ FY �✓I/-�( !�j Lf�J i / _ <br /> / <br /> NOT[ 1NIRING IN NON�DWELLINGS IS REOUIR[D TO FEE <br /> C3[ IN RACEWAYS. MC OR AC CAOLE. <br /> C�TY OF EVERETT LOCAI SALES TAX CODE iS 7105 <br /> 1 he���by ���vtilp Ihaf 1 harr rcnd nnJ cxnminrd tliis applicah�vi;�nd Anon�fho seme lo be fiuu nnA <br /> com�i( AO p�owsions ol Inns rmd ordmnnces,4oreminq Ihis f}pe o/H�oih �vill bo cornplefed <br /> n�hefhrr spoci6c�h�min or n�rt Tho�ranGnn ol a perrnR d��i�s nof �rrsume fo gire c�uthonfy fo <br /> vialaf��or cuncol the nz�visiun�v ol eny ofher sfale a local Ims rogu�Flfing wns(rucGon or fhe <br /> peAounane�•o/cons�ruction Thaf 1 nm euthorireAU��fhe ownor o!fhis propetl}�(o perfum�Ihe <br /> �sork loi ��lur,h npplic�fion is rriade and 1 r,omply�rifh fhe Slate ConGactors Lew f9 27 RCW and <br /> 796 20011'AC. <br /> �����'" ����= �- - �� � � � ;'/l - I 3 / <br /> s�u�� ���,:' i�me - <br /> L _ ---__ . _ _ <br />