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ELECTRlCAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVIC�S <br /> 3200 CEDAR STREET, EVERETT, bVA 98701 <br /> 425-?.57-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS AaE ACCEPTED FROM 8 AM TO A PM <br /> - --- ----------- -'- - <br /> d 7���..,r S� �c., .`� � . _ _ <br /> PROJECT ADDRESS <br /> -- - -�.--.. --. <br /> - -/-- <br /> ,S7`e .v.t- .�a.,+o,�.�vC r`� <br /> g --------__r_---------- ` <br /> OWnor MeRNldress Gt Sta1HZi� PhvnO <br /> 7onant Aloil Atldrnaa City 9tnta�Lip Phone <br /> �l.�o r �r. �h � l�l� ��F� . �; , <br /> [Ipctrlc;�I Contnclor ldAil ArlAreas Ciry Smierop pnonn <br /> Stalo L�ct�ncr. Numbr.r � Conlracl Price of Work � <br /> Proposed Uso of Ouildlny � v �'� Contact Person (Plan Revievi) <br /> Ueccriplion ol Wnrk to Pn Donp: 1j7// r'C �� <br /> �� � <br /> NO7E: VYIRING IN NON-DWFt.LINGS IS RGOUIRED i0 FEE <br /> RfS IN RACFWl�Y6, MC OR AC CADLE. <br /> CIiY OF E=VI:RETT LOCAL SALES TAX CODE IS 3105 <br /> 1 ne�ebp canily thef I ha��r�renAanAexamined fhis nppl�c�fren nnd FnnH�tlte same fp be fiue and � <br /> ro�rnr.t Ali prnvisions nl/nH�s nnev oniin,9ncos govemmg thls rype of ivork wr��he cvmplefed ' <br /> whefhnr specdie�f h�»eln or nnt. TBo,q.an6np ol t�pnrnrif dces not pr�sume fo yive eufhonty N ���.-��• -`-��"��� <br /> violatp nr eanr.u/fhe prnvisi�n�olniry Mhe�i stnlr or lor,ql Inw repu/�1Grry�unSVUGfrOn nf 7AE <br /> pr�rlornrance o!cnnslrucfion. That!nm authonted by the ownOr ol fhis pn�pr.ity fo perfnmr fhp <br /> wn�A lo�nhir.h:�ppflceuon Is mado enq I compty wlth tha Slafo Confrdc(ors law iN 2i RCW antl <br /> ,967v0 W�C <br /> ��X,,,.����� '�Y�j��� �1-0�� 7 <br /> >i9natwH _: ,,/ ..---- Datu J—� <br /> r_ii �C��;�.� �:)3�3 1H_�I� F1�3Hl�ON � 8L596S909£ BS�HN Ll1DL/0I/L0 <br />