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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � � _�_�, <br /> 3200 CEDAR STREET, EVERETT, WA 96201 C ��� � _�S(� <br /> q25-257-8810 - FAX 425-257-8857 —wJ+w.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> —� � :� y.c r , �� <br /> / l _.� , . "1< , � _ f (-���Pf-�I�I IJ[ � � _ <br /> LC�`� l,�J ,_ r , � ;���r. ��_ TF`�-i��r� <br /> PROJECT ADDRESS <br /> � � J;'.(-,c.7 1.�•� -1�{ ��:C', k_� �=L:�.t��Z� `.i�� <br /> `��� �C�l rv'-� --- - - <br /> Owner Afail Address Cily State;Zip Phone <br /> Tenant --- hlailAddress Cily Stale/Zip Phone <br /> � <br /> '}U� ��.�L ���C�i �lil.v �/3' ��1i\��i t '..1�� 1�'1 '_�:.�-LTC..� V�.� `"l�' f? <br /> rU�.��.�_ <br /> Elec�rical Conlractor htail Address Clly SlatelZip Phonc <br /> �lS GC-,c=� <br /> ,K. r � iJr' C c• I'-� "y--t --- <br /> Slalo llcense Number oniract Prico of Work <br /> ProposeJ i.•^� �Buildin� Conlacl Person (Plan Revievi) <br /> Dasr,ription o(Work lo D� Donr�: �a,_��;,_--��:_1�_� t`; G�L� ?`_�t F� �It�� _ (-- ---- --- <br /> NOTE: WIRING IN NON-DW[LLINGS IS RE�UIRED TO FEE <br /> �G IN Rl1CFWAYS, MC OR AC CA�LE. <br /> CITY OF[VERET7 LOCAL SALES TAX CODE IS 3105 <br /> T �� - 0 ` <br /> I hnrehy rrriity fh�rt I ha �o re�iJ nnd ox.imined this applicafiop and kno�v Iho samo lu be 6uo and � � � � <br /> corrr�.L NI provlsions ot,��ss nnd ordinances governin�this typo ol n�orN will bo completed <br /> �tihnfhe� spucilied Aacin or �iol. Tho prv�nGn�ol a pennd does not uesuma to�ivo aidhoiity to <br /> violafe er r.ancel fho rrrm�isiens ol any ofher s(afo or local la�v�e�u�efing consfruchon or fho <br /> perlorrnnnco o!consirudion lhaf 1 nm mdharizod by Ihn onnor o/fhis property fo perlonn fho <br /> �ro�k fir�vhich applir,,�fio�iFni+ide and 1 curnply�vifh fhe Stnfo Conf�r,cfors Low 1827I7CW and <br /> 29(i.200�� i <br /> ! �--: -- � I/ -_��- ��------ <br /> _ � �i��„ _ u,,m <br />