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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.evereQwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � � . t� �� ) <br /> ?ROJECT ADDRESS <br /> _ , � , , , �. , (�.f > > , ,� � � � �J� <br /> ,_, � ,_ , _ r-•. S _ ' �� �[ C.�.�, ,.v, l� � c� l � Si � � c �l <br /> Owncr Afail Address City SlalelZip Phonc <br /> TAnanl -- — �aa�i nd���o<y Cd� 5iaic�7p, f�honc <br /> (� <br /> � <br /> '�L}'�a 1__.,'__ -- <br /> EI9Ci�l Conlflclof �d,ul Pddiess Ci�) SI:iIrZp Phunc <br /> Slale I_ir.�msc Numbcr c'untract Prico ol Work <br /> Proposed Usc u(E3uilding Co��tacl Person (Plan R�vicw) <br /> / � ' � 7 <br /> Dascr'�p�ion of VYork to(3e Dona. � �l�i� �� L `'�'C-� �� �C; ,��.r/� -- <br /> �--- – <br /> NO1 L W IRING W NON-0W[LUNGS IS REQUIRED TO PEE <br /> 9E IN RACEWAI'S, ��1C OR AC CA�LE. <br /> I <br /> CITY OF[VERETT LOCAL SALES TAX CODE IS �105 � <br /> I hacbp rertily Ih�f 1 hrn�e rcad enAexFlmined Ihis applic�Gpn nnd hna�t�U�e samo fo be him anA . , � , <br /> corrocL All prorisiarrs olla�rs and onhnances c�o��ertung fh�s fypo ol worh will be complefed F- (��-','�,i^? - I :- � <br /> �vheth�r specilieAheicin or nal. The�ranlinc�o!n pemuf dons nof/uesumo fo yive a�dho�ity fo � <br /> violnfa cr r,ancd(he/norisiais ol any other sfate or loc.�l la�v regulalinq consfruchon or fhe <br /> perfarm�vtce o/con:�hucfion. rhat 1 am ovfhorized b��fhe on ner ol fhis property fo porfeim ffro <br /> �rork lor n�hich 2pphcnhon is n�nda+�nd 1 conrplp nifh fhe Stafe ConU�ctor,Lnw iB.27 PCN'anA <br /> 796200 11'AC. <br /> , , <br /> '> �; l C <br /> , , : � � �� ,----- � � <br /> -- -- r;��n�.n����--•— ------iia—e;----- ----- <br />