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��:; <br />;; <br /> r <br />,� ;;; , <br />'t <br />» ,, �, ;� — — — <br />�)p <br /> q +' f':.,.. <br /> K+nii <br />� � w�� <br /> ELECTRICAL PERMIT APPLICATIORI � <br />� ` ^ -��' ���� CITY OF EVERET� PERIIAIT SERVICES �� _,9�-/0 �`�; <br />� 3200 CEDAR STREET, EVERETT, WA 96201 C10«`��� �a <br /> 425-257-8810 - FAX 425-257-8857 –www.everettwa.org <br /> j ,; <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM , <br /> k� f <br />'�� •:� <br />,� . , y Lo ys t`� S�- 5 �N' G���, �ll� �j Sz,o� � �; <br />, �. <br />�, :.. <br />;i, ^ ' PROJECT ADDRESS ;� <br /> E ' ' <br />�� �� yj+{'� 5r �,� ���N' �✓� � Kw7 yzs. 76"�, z�14c <br /> � , �'' ' (J�, r15�-o, �iZ� M . �O"�<In ' `�LO <br /> � � SlalelZip Phone <br /> ' u ��� Owner Mail Address City <br />;: <br />� <br />� t ' . <br /> StalelZip Phc�e <br /> Y� .{ Tenan� Mail Address ���1' <br /> i. <br /> � �W n�'r State/Lp Phone <br /> Electncal Conlrador Mail Address �'b <br /> Contract Price of Work <br /> Stale Licens2 Number <br /> P-l.v���- flts�c�en�:e. <br /> Contact Person (Plan Review) <br /> Propose Use of Building <br /> DescriptionafWorktoBeDone: f�t,��� �=x�u''�� '-/"II dv��Q�'S cj'b hlyJ���" �'b����"Jy' <br /> ��W, <br /> NOTE: EIRN��EWAY6 MC R AC CAB 4UIRED TO <br /> FEE <br /> , <br /> ' CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hereby certily that I 6ave read and examined this applicafion and know fhe same to be true and <br /> correcL All provisions ollaws and ordmances goveming thrs type oI work will be.completed <br /> whether specified herein or noL The granting o/a permd does notp resume tc give authonty to <br /> vrolafe or cancel the provisions o/any other state or local/aw regulating construchon or the <br /> � � � wo�rk�%whlch appl caho�n s made and 1 complyev th the 6tateeContracPrsPLawy 18P27 RCW&nd <br /> "- ! 296.200 WAC. <br /> � �"' � �9 �l �l`l �2�10 �� � �� ��� <br /> � � ���:,,,./�' �- 1 '1�--� <br /> ignaWre � Da�e <br /> ' . . _ _ __ .- _.__—. k� . <br />