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APR-30-201: ev:iff `. <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />°200 GEGAR STREET, EVEP.:TT, WA 9820 <br />425-257-8840 - FAX 425-257-8857 — mvw.everettwa org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />4(o� c; <br />PROJECT ADDRESS <br />SaiaLc Phone <br />OYTer a <br />1� {{;; `A 0-7 <br />C W Oil- <br />1 ��V C Q� Stetn,Z o Phone <br />Ten nl Mall Addre93 City <br />�> arc�?� i l C• l�or(LtuiDrP W,4 c�?01 �r��5� <br />StateQip P'.onc <br />E7ecrt�r/,ca7l�C)onutra° ACO'ess <br />actor � /� � p� � <br />c/`�"' " q4g Contract Prjicceee ri Work <br />Stale Licerse�NJmLer <br />✓� � v, 1 ContactPereon (Plan Revewl <br />Propos!j Use of Bwlai^ri <br />Doscript,on of Wo•e to Be Done lo `O <br />NOTE: BEFIN RACEW YDS MC OR AC CABLELtREO 70 <br />FEE r: - -- I <br />L— -- - <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby carrdy that I have wail ann exanuned this aPP"ca" "' ,w the smut r pi Pue ene <br />correct All prov,siens of laws rind ordinances govemrnrJ I, s ^rk will be completed <br />whether specified herein or not. The granting of a permit C.,._ °:`umo l0 mve aul th0y fo <br />violate or cancel the prowsinns of any other state or local la+: 'P.: porror a 1hC <br />performance of consfrucl.on That t am aufhor`ZCd by rhC owns:.' . u 27 RCW and <br />Pe for which application is made any 1 comply :wth the State C - <br />296 [ n WAC. <br />�by-�7_ _ 3 <br />