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� <br /> ; <br /> ELECTF:�CAL PERMIT APPLICATION ' <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257-8810 - rAX 425-257-8E357 -www.everettwa.org <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��� ' �� �I �,y <br /> -- � � �,I�� l�, � i <br /> , ; <br /> ^ C � �,� �ii.1i.�C: i c� � <br /> PROJECT ADDRESS I <br /> i <br /> , , _j <br /> �� �,, 11� l�' / �a.:,,(- Ci� j��i�� � ��: � k ')�, � �-y <br /> OWner ldmi Address Ciry Stals�Zip Phone <br /> / - <br /> ' �-ll S1t{� w �'�la ;y %� 7 ����<<�� ,��� �<��d ���:���1 � u��� �)�,t�y - <br /> Tenan� Mad FdAress Clty Stnle'Z�p Plmrn <br /> .�l ���> . <br /> � ! 1 '1 /] <br /> 1..�"il, Yll � C! /��CiYrC �YIC ��``�� Ki. !�itjr �CCI :.� �:( [/ `, .��� /��� 1 } ��.)7 �.�1i <br /> Electrical Contraclor A1ar hdiress C iy SlatelZip Phone <br /> y i � .� <br /> - I� / �;> r <br /> �!ato Lieense Mumbcr Contra Price ol Wark <br /> Proposed Use ol Building Con�acl Person (Plan Revicw) <br /> DescriptionofWorkto�eDone: I (Y������' ( i✓ �� ,� (' �rl•i•, l[`f ,�(,�`� �J •� � �'Ht��� 7 <br /> ` l �- <br /> iv c� ^ � i � K �r�i� r ��-� �a <br /> NOTE: VJIRING IN NON-DVJ[LLINGS IS R[DUIRED TO fEE <br /> EiE IN RACEVYAYS, A4C OR AC C�BLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hereby certily fhaf 1 havo re.ad and exam-ned fhis applicalron nnd knnH��he same to.Yo frue and <br /> correcf. All prov�sions of IaN�s enA ordmances governing Ihis fype o/wod�will Go comolefed <br /> whefher apeulied horein or not. The grant��g ola permR does nof presurne fo give a�dhority fo <br /> v�olafe o�cancel fhe provrsions ol any other stafa or local law regulafing construction or tha <br /> peAormance o/consfri���rc 7. That I em aulhorized by fhe owner o!this p�opeRy fu peAo�m the <br /> �vrok Inr wh�r h�pplicnlinn jF mnde aq�comply wifh fho Sfafo Confrec:ors Law 182T RCW ano' <br /> 796200 WAC. �- " �, .�.. <br /> �/��-f��-� / � — �O^ -� .'��C� <br /> ?�� Siarature ' Da1e <br /> i' <br />