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' ELECTRICAL PERMIT APPLICATlaN <br /> ' CITY OF EVERETT PERMIT SERVICES <br /> I 3200 CEDAR STREET, EVERETT, WA 98201 � ��� `� 3 <br /> � 425-257-8810 - FAX 425-257-8857 -www everettwa org � �� �_D(�2 I <br /> i APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> II <br /> � <br /> � I <br /> j 7 �l%l-, ('��,,; �f '� <br /> PROJECT ADDRESS <br /> �,� ,� ; {'��-fr-��� Z Dl� ('a, � ; � W. �. 9�Id� _ <br /> �� ��� Phone <br /> �W����—� MailAddress Cdy Statel7.ip <br /> Tenant <br /> Mail Atldress C.dy State'L� Phone <br /> � � �i_ �� l.✓, ���Z ��Z�1'i�-/� <br /> AI� G �,1�� Y�� �i � 1'a��0•, ���.�'L'.i+�_ �t � -= <br /> Electrical Contractor Mad Address C�ty State2�u Phone <br /> ��«-- _,��'� <br /> �i ��' F ,► <br /> Conlrac� f rice o1\Vork <br /> '� e License Number , <br /> I ����,) ��E°�����'� -- ':ontact Person lPlan Review) I <br /> I Proposed Use ol F3uilding � <br /> I, Square Footage QI residential new construction, re:ncdcl or adddion) I <br /> i '� .�� ' i <br /> �� Uescnption o1 Work to�e Done-. _� .�____—,,�� i <br /> I —l�dli-��1---- 1���L�7�. / - -�^ � �--1- <br /> ` II <br /> ( t , v , i I � _—_.-------- ---- — <br /> V, NOT[ WIRING IN NON-DW[LLINGS IS RE�UIRFD TO FEE <br /> 8[ IN RACEWAYS, MC OR AC CADLE . -��7 r( i <br /> � <br /> �. CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> � 1 hereby cerhly Ihat 1 h�ivo�ued and e�nniineJ fhis��pplir,nfion and 4nuw�he � ���i�;(.- �--'�iuo and . �� . -� ��� `l <br /> r.ur«rct. �II provis�uns nlla�vs nnd ordinenr.es yovemrng fhis lype ol�rorh wtli�o cum� ieted � � _7���� — (_�� '�" <br /> � �:hnfher spr,cdi Acrcin or nnf. lhe�ranfinr�ol�i pennrt dues not�icsumo fo gne aufhonty fo <br /> � wolefe orcnnc.l he`vovfsi��, o/nn}�ofber s(afe or locel la�v iegu�finy consfn�clion or fho <br /> �� pmlur � cc I r mslnicfinn. Thrd I nm iulhori:cd by fhe o�vner o!fl�is propert� '�•p��fonn tho <br /> � wor ur � ii i n�plrcn6nrr is made ��nd cr nply with fho Slnte Con(racNrs Leuv itl 27 RCW ond <br /> 296 00 <br /> _ � � _ � .� � - 1� - � 3 _ <br /> _ ,,uF� �a�e <br /> _— — .��e �'_' <br /> -- <br /> -- <br />