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� � <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, 1NA 98201 �--�-�% <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org C n c� p(y _!O� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />;f��il/ �ac4G�:iS�? <br />PROJECT ADDRESS <br />�,':z. . _ - I (LI <br />, <br />Owner <br />( � <br />Tenanl <br />C) f,v �'1 vil <br />Electricat Contrador <br />�� �� <br />Mall Address <br />I t <br />Maii Address <br />tdail Address <br />� <br />�T <br />,(�.ox.a-���a�N �df_!'-L 1,,! W�+- Z �% ( ��6 ;'93 �O <br />Ciry SIalC2ip <br />l � <br />City Stale2ip <br />City Slate/Lp <br />Stale License Number Contracl Price ol Worl: <br />I <br />' -��i • ��'t�� l , -�I M-='/ <br />ProposeC Use of Buddiny Contacl Person (Flan Revicw) <br />�escription ol W ork lo De Done: _,�j,qS.:t�r� � � �ui�� Nt.�.9 �_ �'{1 I« _ _ <br />�_ . <br />NOTL WIRWG IIJ NON-D17ELLItJGS IS REOUIRED TO <br />BE IN RACEWP'fS, MC OR AC CABLF <br />Phone <br />� % <br />Phonc <br />Phone <br />FEE --- — — <br />CITV OF EVERF.TT LO(:AL SALES T�X CODE IS 3705 <br />1 hereby cervly fha( 1 havc� road and examined Ihis applir,afmn :+nd know Ihr, sante fo he 7rua and <br />coirecl All provisions oll�ws and orAinances govennng Ihis lypc ol wnrh wd16r. comple(eA <br />whelher specdir.d herein or roL The yranting o( a pnund dnas not uesume !o give aidh�rity fo <br />violafe or cancel fhe provisions o( any ofher slafe or Incal law regulnfing construclion or fhe <br />�eilorrnance o7 r,onstrur,tion. 7haf 1 am authorimd by fhe owner n( fhis propcify fo peAomi fh%, <br />�ti»rkler which applicafion is mude mrd 1 comply wi(h fhe Stafe Conl�acfors La�v 1&.27 RCW end <br />29G 1➢ NAC. <br />" � / /_ <br />— -- �-:.�� G(,, �.�f , , s�.-- -���,-�- ".7_�---- <br />Signalu�e -------- Ue1P, <br />�����-[o'I <br />z� � <br />