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EL�CTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C[DAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � <br /> +'� ( <br /> � L I �._�� ��5��\ � � �� \- � `� <br /> PROJECT ApDRESS <br /> , � . ` �" _ <br /> i i � �. � . 1 ��. l.�'1 �� �-��-� � -�i� l <br /> i � <br /> �����L1V � ���� �. ; ;����� �.���; �:, �.�-.�, l <br /> Oemer ldail Address Cily State2ip f'Ihonc <br /> Tenanl Mail Address City Stale/Zip Phenc <br /> � \,� I �l � 1 1_ �-' -7 <br /> l \'� 1\,��\1 �lS(_�T\r\ � ���! .1 V�L,- ���.�.'-, <,,�'l ,� � u �` I -1 <br /> [lectrical ConUac(or Mail Address Cily Slale/Zip Phonc <br /> ���\i��_ \�'1 ��\) C'_� �-! "�;/ ~, �1 � <br /> S a�icanse Num6cr ' ' Con�r.ict Prir.c ot H�orf: <br /> Proposed Usc of�uilding CoMact Person (Plan Reviev;) <br /> I Vv r � �� \A �) ��� .r—i I I `-' �—: <br /> Oescri Hion of Worh lo �e Donu: \� � <br /> NOTE: WIRWG IN NON-DWELLINGS IS REQUIRED TO FEE <br /> ICiE IN RACEVVAI'S, MC OR AC CAE3L[. � <br />� CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 her��by certi!}�t6a1 f have�ead a�nd exnmined O�is ap/�licntion r�nd kno�v the same to be true and <br /> conucL All pr�visiuns o(In�rs and ordinances�ovenung fliis t}�pe o!�ti•ork will be camplzted <br />�I n�hefher spec�hed herein or not. The�rantiny o/a pennit does nof �resume to give autheirty(c <br />� vio/afe er cancel(he�rovisions o/any other sfa(e or localla�v�egulnting construcfion or fhe <br /> pe�fonnance of construction. That I��m aufhonzed by the o�rner of thrs praperty to perfarm the <br />� rvork lor trhich application is rnade and 1 compl}�a�ifh(he State Centracters Ln�v f0.27 RCl4�and <br /> i296.20U 14!4C. <br />! i ' � � � <br /> ' % - - , � 7 <br /> � � �- ,;� ,r-=� � _ , _ ���, <br /> , <br /> si�tnawr'e� - � _ _ i)a�e� � / <br /> V <br /> ���,� U, <br />