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ELECTa(CAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES g ` o� <br /> 3200 CEDAR STREET, [VERETT, WA 98201 � ' <br /> 425-257-3810 - FAX 425-257-8857 — �w,n��.everetbva.ory 6;Gc�� U_�3� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> -JI f/����'�. <br /> PROJEC?ADDRESS <br /> � � <br /> �-�;/%5�,�; ��; ���,k 1:3 ,�/.»�N�/s C�;� I�c�la <br /> Owne; t.lail atldmss Cny State�Lp Phone <br /> T2nan� 1;1ai1 Address Ciry State�Zip Phone <br /> ,E�LTi�'[_���i.:yE'r.['ii✓l ��oS ��'��'b Y:SiI/�N�t/�'�%Dn�( 1C//1, `�� %� <br /> E�e^irir,al Conlradof A1a�l Adress Cdy Sta1�2�p Phone <br /> , � �1S 77C �//� <br /> �C.'%%d�i� ��/I7S �//C�4 '�'��C� c- <br /> Slate License Number Coctracl Pnce of Work <br /> Proposed Use of�uilding Conlact Person jPlan Revie�v) <br /> Descriplion o(l`Jork Io f3e Done: y!-I/`���- �/if�J✓�C-�«i <br /> � <br /> i <br /> I <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RAC[WAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � <br /> I herehy crrGly lh�vl I haeo�oad and exernmed th�s.ipphcafion and Hn��v(he snnie lo be true and <br /> r.sn��cf All pro�-�sions ol lan�s and ordmances�oveming(ha t}pe ol u�o�k�vdl be cornplefed <br /> whefher spc�cdied hero�n or noL The�ranlrn�cI a perrnR does nof pie5ume to r�rce authonf}�to <br /> violate or cancel the provisions ol any other sfate or local la�v regulafing construcfron or Ihe <br /> performance o(consfrucfioi�iaf 1 am authorized by fhe owner o/fhis property to peAorm fhe <br /> , �rork Ior.ivl�icl applica6on is m de and 1 cornpty�rifh fhe Stafe Contractors La�v 18.27 RCW and <br /> 296.20D WAC: <br /> � � r <br /> / <br /> —� <� ,�'�;_�'�� ----- �� �[' <br /> �igp.�t.u,: oote <br />