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--------- � � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —w,vw everettwa.org `O �`�z <br /> APPLICATIONS ARE ACCEf'TED FROM 8 AM TO 4 PM � ' 2%�� � � <br /> �t03 Sho�e F��e E�e,�e.t\ q4��o� <br /> PROJECTADDRESS <br /> �'�/�a�s�o� Lc{rya,�115 same <br /> Owner ldail Address City Statc2p Phone <br /> T2nBnt I.AaI Address CAy Slale/7_ip Phone <br /> AM�e� Etec,trt� u� M�rner,� �'o�t�h �68 tve�e� w-A- _ �'B?�(o <br /> EleciriCa' C��(r3ctor MadAtldress Qry Sfater7,p Phone <br /> AMP EDEnn qo� �y <br /> Stale L�cense Ncmber Conirecl Pnce of Woik <br /> ProposeA Use o(Budding Contact Person (Plan Rev�ew) <br /> Square Footage(II residenhal new construchon, remodel or addillon) <br /> Uescription ol Woik to Dc Donc: � c�v(.t�SS �� V 4� �.�K.,�)�� U.��� U(S C O��nC'Ci� <br /> ----�--� ----- - ----_.. <br /> NOTG WIRING W NON-DWFLI_INGS IS Rf'QUIRED TO FEE <br /> [3E IN RACLW�YS, MC OR AC CAf31 f_. ����r <br /> CITY OF EVERETT LOCAL SALES TAx COD[IS 3705 ___ _. <br /> I hC�D�/}'CG'111Iy IIIBI I hi1VC �C7(I Bfl(1l`XJOIIIICII lh1$appGr.al;nn and know lhr, ;;arne fo he frue.3nd 1 \ <br /> cc:ir,r.f All provisions ol la�vs and or�Lnmicr,s govr.�tnng Ihi;(ypr, o/work vadl be cornple(ed 1 I �-� O— I q � <br /> whrlher.specdied hpmin or nof The granhny ol.�pcnnrf does no( nr.sume fo grve�ufhonty lo L� 1 <br /> taololc nr r,anr,el(hr,provisions o/��ny o(hcr s(a!e oi lor.al!nw ieyu��6ng r.orc,lruc(ion or(hc <br /> perlonna•ice ol conshucf(on. 7hal 1 nrn aulhnnied by flre ownei o/f6is noperly lo pedonn Ihe <br /> wnd�loi ivh�ch a��plicafio is madr, anJ 1 comply wdh Nic Sfatc Con6ac�ors 1 nw 18 27 HCW and <br /> 29G 200 WAC. <br /> � <br /> ---- <br /> ��_ 3�—�Z <br /> siqnaw,e � —�----__.-- oate — <br />