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ELECTRICAL PERMIT At�PLICATION <br /> CITY OF EVERETT PERMIT SERVICES ' ' <br /> , , ; <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��L; /c.� w, i S � ��7 <br /> PROJECT ADURESS <br /> �- /�.� '1—V� till�� L'✓.tX <br /> Ownor Mall Address Clly S.atelZlp Phone <br /> Y'•" � ` — — <br /> Tenanl Mail�ddiecs City SlaleQip Phone <br /> ���W- ��" �1��� :�� c�� ��� �.�� ��,� 7 .v� �d� A -�� G��,� s%�� y�� s a <br /> [loCtrical CoNrncbr Mail Addre-� Clly SlatelZip Phone <br /> '7:'S_1 Z,�_�S 3 <br /> ,A v ro �ti�Q u.'��`1 �L-k ��'�� � <br /> Slale Llconso Numbcr Coniract Prico o�Work <br /> �l//� )P,w, <br /> � <br /> Proposed Uso of f3ui diny Conlacl Pcrson (Plan Roviow) <br /> Descriplion ol Work lo Do Dono�. �/l i 1-q.(/ l-z���/ ���� �G3�G ,- ��.,1 �✓-G � W�� <br /> NOTE: WIRING IN NON-CWELLINGS IS RE�UIRED TO FEE <br /> OE IN RACEWAYS, MC OR AC CAOLE. <br /> � <br /> CITY OF EVBRETT LOCAL SALES TAX CODE IS�105 <br /> 1 heroby certih that I have re�d and exnrninrtd fhis oppOcatinn end hno�s fh� senie Io bo frue nnA <br /> �urrerl /111�vowsions ol laws end ordmances yormning fhis lype ol�rork n�ill be complA!eA <br /> rrhefh�r specilieA herein oi noL Tho�rantinp o!n ponnd Aoes nof vos:uno fo givo eitlhority fo <br /> violafr o�concel fhe provisions ol nny other sterte or local laK�m�ulefing eonsfrucfion or fho <br /> perfonnancc o/r,onstruction. Thnf 1 nm aufho�izrd bp Orc ewnor o/fhis propoity fo pe�fomi fhe <br /> wo�F Irn nhich applicnfion is mado anAl comply wifh the Sft�fe Conh�+cfo�s Lew 1817 RCW onA <br /> 796.700 WAC. <br /> �� <br /> � j�; � , ,: ,/, .� �,t, ���/� l� 7 <br /> --- —5w�-i�w„_..�.-t_—�_ `__ `T Uate <br />