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-- -, -- - <br /> 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.evereltwa.org <br /> ,� <br /> APPIICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM "' � -)1 -� �' <br /> ------ --- C �. :y� > _�.`�( <br /> � � '� L� 'iiS� h ,. f,-c� <br /> PROJECT ADDRESS <br /> � .�'�) I.�� ( �( S , i� � I�c� � t�'p:C �r W/�{ P7`i/ 'I �L�` >) )'�/ � <br /> � CfSiJ�� O � �<Cl11 � 1 � � / <br /> Owner Mail Address City Slate2ip Phone <br /> \ � I . { 7L. <br /> ( 1 .�� �� It � c,�� ) o � �✓ (AS���o � a LLl..s'fi �,,, �k �'�lc,�K f'1J ' 7) J,S7 <br /> Tenanl l,1ai1 Address City Stalcilip Phone <br /> �:c, ;�rt �,Sfa ,�,� __ � �- r.��� �-,µy 9�i �� ���,��u-.,�.1 Y�°d? ���-_ -,�r- .,,� <br /> Eledrical Contraclor M1hail Address City Slate!Zip Phone <br /> , � ¢ ��v `��- <br /> L� h17� �, � � 33 bl � <br /> State License Number CoNrac�Price ol Work <br /> I''—r % M '/����7 <br /> ProposeA Use of Building Conlact Person (Plan Review) <br /> Description of Work lo�c Dano: ---( i 11 Yl P( f "l l�: i ti l�-G' -f" S��, / �'X <br /> NOTE' WIP.ING IN NUN-DWELLINGS IS RE4UIRED TO FEE <br /> E3E IN RACEWAYS, MC OR AC CARLF. <br /> CITY OF EVERETT LOCAL SALES TAX COUE IS 3105 <br /> 1 herc�by r,ertily Iha!1 hav� reaJ nnJ ex�rnmod fhis apphcatro�i and krtuw fhe same to be hue nnd <br /> ronecf All p�ovisons ol laws ruid urdmanms povwnmg fhis type o!wor6 will be mrnpleted <br /> whefher specilied heicin or not The��anling o(a pmrnd does nol vesume to give nufhorify fa <br /> Iwclafe or cancel G�e vovisions o/nny�fher stale or local law regu�efuip consfrudion or the <br /> prAorrnan�e ol cons�ruc6on. Thaf 1�im eitlhoriznd by Ihe ownor ollhis property fo p,�erfomi Ihe � <br /> worh lor whrch application is made and 1 coniply�sith fhe Sfafe Confraclors Lew 19..7 RCW and � <br /> 'l J(i 200 WAC. � � "� . �'1 � <br /> ; �7 1 � � <br /> � 7 <br /> � � .��,��` r� '1 � �� . ' ��� �� � ,� ��, <br /> I - - - -- --- - ------- <br /> . ,�,,, 1 ate <br /> � <br /> III <br />