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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98�J1 <br /> 425-257-8810 - FAX 425-257-A�57 -� �v�ti��ti� everetltiva orr� <br /> APPLICATIONS ARE ACCEPTEU FROM 8 AM TO 4 PM <br /> "21 N <br /> 500 3 W Co`S�nU r` � � �15 -�i <br /> PROJECT ADDRESS <br /> � <br /> 3oe�., (�_ ---- a-fl-l.e �k l_Z 4 - --- <br /> OWnUf � . _ . _61�u1 qdi6r. Cily Slot�•'Zip I'horc <br /> p�e_�^ c� r�o P�x 3-�0� rn s i F o�i �w-N�y �JR 95��z y <br /> ___.____.._ <br /> -- — ------ -- ---- - <br /> T�Cfl:in� 1.1dd A�IAms; Glc . �db. 7q� 1'h�,n•. <br /> � , vsio <br /> (l�qf Q��o��_IYlil�e✓CH��\i-h�_5a)+�i�vr��_1���_ 77'lro',�t R.�F_ ,S�.�NIe U,A 6 --- <br /> [Itrctric:tlGunlraclor ALulAdd�es, �:�i�, :�t,���.,�t I�n�����. <br /> Y�n � �or- s �, uo r�a <br /> ---_ _ -- --- -- <br /> S�elc 1 i��•n�.�.lhunl,.�i �___ r��nlr,i�-I I'nr�. i,�`.1'��r� <br /> _ u�!_S 50hAnSCV� __—.____ <br /> PropritirqU�-����II'uddn.�—'___ '-- — � ..idnalPuo;nn (PI.�nR�•:Iov,) <br /> DescriplinnolWorkloBeDuna l_C�.'1�YU1S �.�Gupt' GIzS�d1CCI � ��5���4_�_ .___ --._---- <br /> NOTE: WIRING IIJ NON-DWGLLINGS IS R[CUIRED TO FEE <br /> 6[ IN RAC[WAYS. �1C OR�C CADL[ <br /> CITY OF EVERETT LOCAL S.4LES TAX CODE IS 3105 <br /> I hcmh� ro�Llp thaf I hmv�rouil unJ or;iminoJ Ihls�ippli��nhan rurd knaw fb� sanu� fo be frue tu�d <br /> conrcf AP prnvisnmx ol la�ts and ordmanc��s�7�`�r�nunq this tyPe o(�roiN nvll br�onipletod <br /> wfrefher speci6nd here°�or not. 1hr, g�onGn�ot n panu(does nul ueswno fn�me ciuthontp N <br /> � rioLite nr�nnrel tho vovitions al nn} nihi�r sfak�or lecel l��v repu�nfm9 cons6urfion orUie <br /> pr�rinrnuvu ��r!corrs�ni�fion Ihr+l 1 an�oufhorved b} Ihtr o�ti�ner o!fhis properf}�fo perlorm fhi� <br /> work !ni n hich�ip��l�caf�nn is ntedr and 1��rrnply nith Ihe Sfnf� Confmcfors Law Itl 27 RC4Y and <br /> 7pG ?Un ll�C. <br /> � � �Ct.v��_ US�IO� Ug �' / /�Cl <br /> �.'uu`^-' � -- --- -------- _ <br /> � ,..,�,��,. —i���.. � x' �� _ � <br /> U <br />