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. - .. : . L '. [ ' ,, � . . '�r'' - _ . _ . : �1��:. „ . �, ", <br /> ELECTRICAL PEl2MIT APPLICATIO�V <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S7RE�7, EVERETT, WA 98201 �,I� _� � <br /> 425-257-8810 - FAX A25-257-8457—www.everethva.org <br /> APPLICATIONS ARE ACGEPTED PROM 8 AM TO 4 PM ��Za � U� <br /> �-Z o'] Co l bu Q,�� �,-e (e�O <br /> PROJCC?ADDRESS <br /> p� + ��aJ�1= l..O(�{7O�A'TE. <br /> Ma1lAtldress Clty StelelZip Phone <br /> ��OJ1 K. �^^^ 0.S �j"J0�1 C <br /> lenent �� M211Add�e65 Cily Slalefzip Phona <br /> ` U�.�K'� I�IF. ��-�`/°' S�4' <br /> ,JO,t (`M � �tc�-+Zc. � l�-'1 1���e.r-�u n W ht- Q'�03�F <br /> [I�CVILaIC0111fE1C10f MallAddr068 Gily SIBfBl2ip Phone <br /> ��a�m� E's._at�� N ��� ooa _ <br /> State Liceneo Number Conlraet Price of Wark <br /> �,��s mo��.�- <br /> Proposad Use of 0uilding �op�brSo� (�")� 6� <br /> � l " � <br /> ��> g�do -'l�y-3 <br /> Square Footege(If tesldenil0l new construclion,remodel or addilion) <br /> �esuip�ion of Work ta De Done: 1 � ` � �G <br /> �elD �fe. �10 _�,rDT` se�uri-tu eErv�s aufjefi� <br /> �x1uR'-s _ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS,MC OIt AC CA�I.E. ��� nD <br /> ...... <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS a106 <br /> !here6y r.eriiry lhaf f hove trnd end exnminod fhis ap�lica(fon and know fhe same fo be f�ue end <br /> carecL All provisions of laws and o�dGienr.es govemmg(his typo ol work will be compleled .�l�O�� On <br /> whefherspecilied horo�n ornol. Tho gronfinp ol a permif does not presuma to give aufhonty�o b <br /> violaloorcancelthe provlsfonsolnnyofhorsfa�oorlocallaw�epula6ngconsf�ucllonorthe <br /> porlonnanca ol consirm;Iion. That I am aulhaized Gy7hc o�,•nor ol Ihis property fo peAnmi fhe ' <br /> wudr lor ' �3pplicafion is made and 1 compry wi�h Ihe S(afe CON�actors C3w 18.27/iCW and <br /> 29820 A '. <br /> �/J�/(.��' � �I��I �Z <br /> ylgnalur ' ' � Dale <br />