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ELECTRICAL PERMIT APPLICATIQN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32�0 CEOAk STREET, EVERETT,WA 88201 y S�� <br /> 425-2b7-8610 - FAX 425-257-Ss57—wuvw.everettwa.org � � � � <br /> APPLICAT10N8 ARE ACCEPTED FROM!AM TO 4 PM � � y� 1 �b /� <br /> b O 2 W c�1� A�..e. C v <br /> rRaecr�ot�ss <br /> Cla�. � �.� �O 2 �►.� c�-�--- r�- L�� . <br /> Owner Mall Addie�u Ciy i 9tetafLip Phone I <br /> Tena�t ntau�eaross c,zy suamp { 3(00� <br /> C�o.cv;n �n�er �s�. �0• ok �q c�ll a7o �ty s I <br /> Eledriwl Contractor trmn naarecs aty su�alr�n Phona <br /> G(�RViF�� °1 �t1 C .� � �I�U• �a <br /> Stam LimnsO Number Contract price o(Work <br /> Proposed Use of Buliding Conted Parson (Plan Rrsview) <br /> Squere Footege Qf residEnual new conawdlon,romodel or adtlnion) <br /> DescrlpUon ot Work to Be�one: � Q (.L. -�K�S��f.l�"J � <br /> i <br /> � <br /> I <br /> NO i E: WtRING IN NOM-DWELIJNGS 13 REQUIRED TO I FEE <br /> BE IN RACEWAYS,MC�:R AC GABLE. ��Q(� <br /> � <br /> CItY OF LNERETT LOCAL SALES TA1f CODE IS 3105 <br /> I Aernby eerHy fAet!have reed nrtd examinod thle appllwtlon and know fhe�eme ba Wo and 1� I 1 �7 <br /> comd. All proviarona ollsws and ordinan^es goveming thla type o!woilc wln 6e o�mplefed G� `7 ' � O ( 5 <br /> whefher apecHledM�elr.ornot 1'he g2nting o/a pertnd doss notpma�ma ro ghre;euthortfy 10 <br /> viM a canoef Ure p�ovlaions of any ofher sfate or locnl!ew regulatlnp conaW ctl or fhe <br /> pB�rmm�6'�Of ConatnlGinn. Th+!�6m 9NhoAzetl by tAe owner of fhrs pruperty to�eAortn}h¢ <br /> wwk(or whrch applidtion ia ms�*•r and I compty wilh fha Sfste Corrtrecto�a Law/B.I 7 RC W and <br /> 286.200 WAC. <br /> � � '� <br /> 9iy <br /> I <br />