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ELECTRICAL PERMIT APPLfCATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 - �vww.evereltwa.erg <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ., c� � 7 cr_- pnaz .sT <br /> PROJECT ADDRESS <br /> O� IIt Ll� l� i �r' /�/'�/:/�GTUAL /^IE�� <br /> OWncr A1a11 Addrnss Cily S�atelZip Phone <br /> Ten�tnl A1ail Ad�;ress Gt�� Slale/Zip Phone <br /> /tf � �-��v ��)' ,CL�C ►J'v� cJ fNC -- <br /> Electrical Conlraclm htail Address r.11y Slale2ip Phone <br /> /�(� L� / N C_ C O l� S fv 'I— <br /> S�ate Liconso Num6er Contrad Prir,o of Work <br /> Proposed Usc u�Buildmg Conlad Person (Plan Roview) I <br /> Desctip�ion ol Work In Oo D�.rne ��0 1=.i,_ �-11� ��}� �i 1=,��1 > >u lu > >G <br /> --- - ---- ----J--}---��. i lJ= <br /> ---- ------_�ssi��- rr•� r� -- <br /> N01[ V1'IRIPJG IN NON-DW[LLINGS IS RFOUIRFD TO FEE <br /> C3E W RACFWAI'S, MC OR AC CnDL[ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> 1 hFrohy rnrlily fhnf 1 h�cc rorid nnd rxmnined this nppli��;rtion tmd kno�v the seme W bo(nm enA <br /> conecl. All prorisions o/laus and ordmanc[!s goreminy fhis t)�pe ol work will bo complefed <br /> �rholhr�spcalied Nore�in o�naf. Th�•�r�nfinp id a pernuf daes nul imsumn fo givo o�rthority fo <br /> violc+fe or cnncM fhe`uovisions ol any ofher sf�te nr Inonl Imr ragulefinN consfruction or flre <br /> perlortnance u/cunslnicfion. That 1 nrn eufhoriri�d b��fhu un�ner ol fh�s p�operty!o poAonn fhe <br /> work loi which epplicotion is rnado nnd 1 compl���rifh fhe Sfaf�Conhnc(c�s Law f 8 27 RCW anA <br /> 79G.200 INAC. <br /> . �� _ ' . /� t) <br /> �--�-, (--.�.[ --__ �' , v /� <br /> � Si,n�dme " / . ___—Uale /00 7 y 0 / <br />