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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 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �UU 3 (� � 5-E CAS��r.o �l� 1'� ,..�µc✓ (�o'6�y �sT-d Q, r�Jr"�- 2� <br /> PROJECT ADDRESS � <br /> .11�� � �..q_ C�A_ �003 WeSl GAs'��-��� �1tt�s�'��c—. ��_ <br /> OWner h1ai1�ddress Clly St2te2ip Phone <br /> ( 1 \t <br /> Tenant A1ailAddress Cily State/Zip Phonc <br /> �"I�b V•� P�_�G�r��_�O box �i�_}.��(Ar�S�;i ir We� ��� 3�ef1_�SF- ol <br /> Eledfical ConlraGlof Mail AdJress Ctly Slalo2iP Phone <br /> O� <br /> 3°°° ----- <br /> Slate Licensi�Number Contr.�cl Prico of Work <br /> Propu�.ed Usa oi Fluildinq Conlacl Person (Plan Revicwl <br /> Docr.riptiun ul Work l0 6e Don�: �QC9.f�.!—.S]�—��-��'��'–S— /�'�ueti�a�l��iGN.JYa.t <br /> � ---- <br /> {�ot.�c� ----- ---- — <br /> NOTL WIRING ItJ NON-DW[LLINGS IS REQUIRED TO FEE <br /> l3E RJ RACf_WAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hrichy ceitily fhef I ha�e rood nnd examin��d flus npplicnfiun end know Iho serne to Go truo nnd <br /> coneif All provisions o!lmss nnd urdinances,qoveminy fhis fype ol H'ork will be complefed <br /> whethi�r sper.i6ed hen+in nr not The nrantinp ol o pornuf dues nol �resunie fo give eufhonty fo <br /> violaf��oi r,nncel fho rrrov�sions o(nny ofher sfnto or lo��ol lo�r regu�afin,q consWr,fion o�fhe <br /> perfonmvico o!consfiuction. Thnf 1 em aidhonzeAby(he o�sner o/fhis property to pertonn fhe <br /> WOIH IJI NIIICII 7�1(JIILflIl011 IS III��IU and 1 complp�rifh Ihe Slofe Confrncfors Lniv 18.27 RCl1'and <br /> zss2oo wac. <br /> -- - -- _ -- —��(��a0�� __ <br /> iyna�ure Ua�e <br /> -- ---„-'- I ys--- ----- � <br />