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ELECTRICAL P'ERMIT APPLICA�ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C[_DAR STREET, EVERFTT, W� 98201 <br /> 425-257-8810 - FAX 425-2E7-8857 - www.e�erethv�.org <br /> APPLICATIONS AfIE ACCEPTED FROM 8 AM TO 4 PM <br /> ,� <br /> �, �� .) p r, _ <br /> . , <br /> � ' '� � � r � a T � 1� �, j` i t�L�� : ��„- , 7 -- � � — <br /> ',� Cc� l,• � ��� � �c' ` ' ' . <br /> PRUJECTADDRCSS <br /> OWner Mail Addresa Cily Slate2ip Phone <br /> y�.5— <br /> �-) �l l��r-4 l� !- � �t_� '>Fr-�T 'lf-�' .� ,7.� !S� 6�1 C/lS�.IC I'� �'�'n"i'<J,� �l�.� �`f'-- �'� 4/C• <br /> Tenanl M11ail AdJrees City Stato2lp �C ��y Phone <br /> .� ���y NcJ I`I? �!� Sf c l�cr r ' <br /> / � / ,�f C l,'1q <br /> cl�� `��'l77 <br /> � ✓�C i l l ( ��'�.b�niu. 1i�� , t-i ,, �� 1'LJ i��4:.1� _�V� �`�'�—�� . i <br /> d �1 �N. �Zt� t�Fh4 <br /> Eleclrir.al Contrac�or Mail AAdiess City Slale/Zip Phone <br /> � � � � c`V�' • �.�C. <br /> ( �-� C � f C t'c�r�t ��� c_ ' ---- <br /> Slate Licenso Number Con�racl Prico ol WorV, <br /> � '7 9 . ` ��• -- <br /> T � � k ( ��'il� L vG_/r�.. %„ � ' �")� _ <br /> Propos�A Use ol Buildin{� CoMacf Porson (Plan Review) <br /> � ] f �. )i;. �l ,, i� � �—�c^� C � . ��i�1�6-1 � � ^ <br /> DAscriplion of Work to�c Donc: <br /> �-�'� ' l. P � d'1��� � <br /> tJOT[ W IRING IN NON-DW[LLINGS IS REQUIRF.D TO FEE <br /> (3L IN RACEWAYS, MC OR AC CABLF <br /> CITY OF EVERETT LOCAL SALE5 TAX CODE IS 3105 <br /> I hcrrby���n�6ly fh��f I havr read and r,xnminoA fhis application and know fhe same to be fruc and <br /> r��nee1 411 pn�visions ollaws end ordinnncas poveming this type o!H�o�k ivill be completed <br /> �rh��thr�r specibed hcrein or not The�rentinq oI n pornut doe+s nof �resuma to give aufhority to <br /> �:ulafr oi �:nncel the I�rovisions o/t�ny ufhe�sfefe oi loca'law regulnting construchon or tho <br /> pe�/onnar�re o(construcfion Thot I em aufhanzed b}�the o�snoi o!fhis property fo perfunn O�e <br /> work lu� which npplict�fion is ntnAe end 1 cumply wifh the Stnfe Contre,;fors Lew 78.27 RCl1'nnA <br /> ?9G.200 WAC. <br /> , ( � <br /> C � , <br /> r � � , <br /> nature Ua�� -- — <br /> / <br /> i <br />