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, <br /> 1 <br /> ELECTRICAL PERMIT APPLIGATION <br /> CITY OF EVERETT PERMIT SERVICE� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 q a g-�2� <br /> q25-257-8810 - FAX 425-257-8857 -www.everettwa.org �/�9`�5 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ,8/�/� �a 2°/ <br /> ,3co3 �v��r l•sfs��v� ,�� � ��,�t� <br /> �a/ � -iz <br /> PROJECT ADDRESS <br /> '�C�iii_��l L'O _. ---- — <br /> Owner <br /> �dail AdJress Cily Slatc�lip Phone <br /> 7enant <br /> Ma�l Address Cdy StalelLp Phone <br /> �la� ����� i c�. r�o�-�9 d/N.e�r/� �i/ 9�z�o �60 �ss oSoi <br /> [Iedrical Contractor Mail Address C�ty <br /> Slate�Zip Phone <br /> �Jn d�Cb �o <br /> �I ' "v/����077�� Coniract Price o(Work <br /> I Stale Licensc Number "� <br /> �i¢[�f/ �c'rOIE�_____ <br /> , I'ioposed Use ot Duilding Contact Person (Plan Review) <br /> i <br /> � Square Foo�a�e Qf residential new const«iction,iemodel or addition) <br /> � �/<�ns� /✓Eu� T��O/�"lt'J 2d i1s�� B/��L�T �� <br /> Descriplion of Work 10 Oe Done' ti i I <br />� 170D,� �]�7'xDce.�i -- <br /> I NOT[ WIRING IN NON-DW[LLINGS IS REQUIR[D TO FEE _ <br /> � DL IN RACE�VAYS, MC OR AC CA�LE . I I � <br /> �%U <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I heroby cerLly thnt 1 hace m��d;�nd cramined�iis ripph�afion�'nd(A%�`o�rk'v ill be comG eted�I�� <br /> �� �.u-recL All provisinns oll�ir�s�ind ordinnnces i ocn.rrun, this t . 1 <br /> ,:hcthcr specilicd hxrein u�rlof. 7Hc yrnnting ol a pcm�d does not ��esumo ta yrve aufho�ity fo L � ,� �) � - I r�� <br /> � �,�ialalr, or cm�selJ ��ovisior ol nny otlic�slafr, or lucal Imv rc�ul.�liny const�uclion or(ho <br /> �, perlo�mance aI con n�cfion. af I arn,w(honze�i by Ihe owner ol Ihis nopeRy to pedomi Ni� <br /> � ron�k/or •;hich nppli 7N011/5II17I0 fill(I I C411ply n�if0lha Sfafo Conl�acfors La�v 1827 RCW and <br /> �. °9Q200�/1C. � <br /> i / <br /> , �,/,-' , 9-Z���2. <br /> ; _ ���; __------ ---- - -- - <br /> -�� �« _ - ��« <br />