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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, FVERETT, WA 9fi201 <br />•125-257-8610 - PAX 425-257-8857 - www.everelhva.org <br />APPLICATIONS ARE ACCEPTED FkOM 8 AM TO 4 PM - DEBIT 8 CREOIT CARDS ARE NOT ACCEPTED <br />� �%� , �- if/J iP/�l!/L /f s /CNo�,..�v, � f. �n i iy„ <br />�� OCiI f�fL� i�(�/J l �4 f/ F, i S R! ✓'iTr. ac� �rd�✓ f�/i, /`/:' O� ; � L o <br />PROJECTADDRESS T�k,�,,N�l �r��c• G—��r� >`�/���` <br />�o� �- ��T F.,� ��r s ���� r�ti , r� ��� r�, FL��, J-� <br />�— - <br />OwnCf Idnil Ad�icxs ' (.�Iy SInMIZip !'nonc <br />lenant <br />hlail ndAress <br />Cny <br />SWIc/Lip Phone <br />�i %� � :' ��Fc r��c /�� /�c� /3.,'�7 jj =l.�lv/J � �' k227 36��- 73a -ita; z- <br />ElCclnc�l ConlrnC10/ Idail AdAress Ciiy SL�Ic�Lp Fnnnn <br />�i / � ! C—1 .�� � � /J � <br />Slate Licr.�ise NumUer <br />r.-�,� .� � ti�� � s f <br />Praposed Use of Uu idi�ig <br />� <br />/rJ D D =� <br />Conlrocl Pncc of Wnrk <br />��is�%'/' �z' {4��/,'I: �9 ti11? <br />Cont�cl Person (Plon Review) <br />/ •�- i <br />Descriplion ol Wurk lo �e Done: �Oc�FfL L C��/s� /,K� L �U��/�� , i i / J /Vr-�✓ <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />�E IN �,iCEWAYS, MC OR AC C�DLE. <br />CITY OF EVERETT LO:AL SALES TNC CODE IS 3105 <br />1 hemby certily tlmf I have rcnd <br />corrnr.f. All pmvisions of Imvs r <br />whefher speci(ed hercin or nof. <br />violnfc r,r r,oncel fhr, provisians <br />pedonnanceolconsfrvcfion. T <br />�vork !or whicir applir.afion is m. <br />29G.200 WAC. <br />E <br />lhis appficatinn nnd know fhe smnr, lo br. Imm �nd <br />governing fhis type ol �vork will bn compiefed <br />ol a pennR does noI presurne lo yfve �u(honty fo <br />afe or Mr.al 4nv regul,�liny conshuclion ar the <br />ized by fhc owncr ollhis praperty to � cr/nmr Ihr. <br />!y wi(h !he $qilc Cnntracfors l.a�v iD 1 i RCW nnd <br />%�l <br />—i s - <br />� o+lv P •�r�{ <br />� <br />FEE <br />-� <br />�-,5'n <br />