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__ _--- - � <br /> ELECTRICAL PERMIT APPLICAT <br /> IQN II <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 /> APPLICA�IONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � �� '� �l / � l�r1 /L J � <br /> PROJECT ADD SS <br /> �� Z`� ��s -bt.�5 <br /> -,— ,, � � � ��:-,:�c� ���� r"�oA�° -;� f vFi7r r7 lvA- �,6�U <br /> „� . ,���.I�i-�-=--f--�-1 _ / <br /> ONner I.lad AdA�e55 Cily Slale2il� Phone <br /> �/CC�,�/f 1(' — <br /> TCnant �dail AAdress Cily Slale'Zip Phone <br /> Jdd <br /> _���- h �Nn� �,,��-T po �oY ��,�,�k%� ,�e � �or� zs,- ��,a� <br /> PIr,Urical Contr2clor Maii AAAress Cny Slater2�p Phonr. <br /> I7r- c 0,1D.L %'3� �'/_ �: 7 7au -- <br /> State Licr.nse Number CoNracl Price ol Work <br /> �/ ; iD/ iv ) � r� [ — <br /> Proposed 'lsc of�uildincl Conlai�.l Person (Plan Review) <br /> pr,scription of Work lo Be I�ana. _.�'t /�� ,i��_��„'i��t G—. C'�l r � v �iV/���7G%i3 � — <br /> GiND ou � � f /5 �s .*li6/>! /� <br /> NOTE: WIP.ING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> B[ IN RAC[WAYS, A1C OR AC CABLE <br /> CITY OF EVERETT LOCAL SAIES TAX COUE IS 3105 ,._ <br /> I h��rrhy�.rrf�h� th;d I havr rrr�d:mJ��xurnmrd Ih�s npp6caf�on nnd kno�r fh��sarne fo be frue and ��������� � �� <br /> ���nocf F�II pr��viv�ms ol lak�s nnd orJin;�ncrs gnr��rnin�fhis t}�pe ol wo�A will be cornpleleA <br /> � ��fn�fhni spi�uhrd h�rem o� not fhe granGnq ol�i permd does nvt presurne to givn authority fo <br /> riolafr o�cancel fho p�ovisiw�s ol ony efher stnfe or local law re�ula6n�consfnicfion or fhe <br /> pr�rlorrnance ol c:onshuc6on Tlrsf 1 arn aulhonz��tl by fhe ownrr ol this property fo perlortn fhe <br /> i �5o�p W�which npp6cnhon is rm�do nnd 1 cnmply�vRh fhe Stafe Conhnclu�s Lew 18 27 RCW end <br /> ;'��G 200 WAC. <br /> I k, <br /> !1�.,,�_—._ ���� �° o,i� -`--- — <br /> i i s�.ynawrc <br />