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ELECTRICAL PERMIl' 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 /> APPL.ICATIC`NS AR[ ACCEPTED FROM 8 AM TO 4 PM <br /> .? ✓> ��l � L�� <br /> ����) ��r" Ct/�-� {�' �� �e� I"i yf� c �i�� r/.^ <br /> PROJECTADDRESS <br /> 1 ' <br /> ��i<�1 �'�'� /`'' - G�/� Cc'c(t�r" �' , , �%�i,��% y,ZS.iS%�/LJ <br /> Owner Mail Add�ess Ciry StalelZip Phone <br /> J �/%�f� ,— _ — <br /> Tr.nanl �4ail Addmss City Slate/Zlp Phone <br /> �!�CG%�t/� - --- <br /> Elc�ctrical Contrac�nr h�a�i,�ddirss ciry Sta�e4ip Phone <br /> St�te License Number Contracl Price of Work <br /> F'roposed Use ol�uilding Con�c:cl Person (Plan Review) <br /> o�scription ol Work to �c Done: �GC' C /'/'7/9�t L 7l7 S(J<L`jrt K'l>��O✓Ht'I' � <br /> ' �� ") C � t�)�r' L '��' /�C'� /,`�/�%� ---- <br /> NOT[ NJIRING IN NON-DWFLLINGS IS REOUIRED TO FEE <br /> E3E W F2ACEWAYS, MC OR AC CABLG _�� <br /> a� <br /> CITY OF EVERETT LUCAL SALES TAX CODE IS 3105 <br /> � I hombp r�aG(y thaf l have n�ad nnd eeanuned fhis npphcalion nnd knew Nie snrne fn be(nm and <br /> i „ne�.f AN prorisions ol la�✓s anA oidinunces govenung Ihis(vpe o!work wtll be comploteA <br /> � vrhi�thor spucdird Irrrem or nof The grr�nfin�ul a p�vnnf does not��resurne fo giv�autltorlty to <br /> c�olafe o� cancel fhe provr ions ol nny ufher sfefe or bcal low reqv ating construchon or fhe <br /> Iprvlornif�nce a/const��..:F�n Thet 1 dm eufhorired by fhe nwner of this property fu pe�iorm fhe . <br /> �n��k!or wh�ch application is meAr and 1 conipl��wifh fhe Sfnfe Confractors La�v f ii 77 RCW enA �� <br /> 7��6200 WAC. . � -� ' <br /> i `} I <br /> �� i <br /> � ///y(�7r��'� i <br /> ! � _ l �U `,Gf„''t' ,� Lj //�/� // /� — -' � <br /> .__��_ .-( L �/ ' �"�, <br /> SipnaW�e! � atc ,,� � <br /> i <br /> I <br />