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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STRE[T, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-6857 — www.everethva.orp <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� s � �a�-ti � ��._ _ <br />PROJECT ADDRESS <br />E/3�� i�9 <br />���3 _ �3 <br />S��s��� �a�- —��s �a5� aa <br />Owno� AtailAtlCress C�ry SleteRfp Pn�nc <br />Terant <br />Electnca� CoMractor <br />!da�i Address <br />�dail <br />�sx�r� A �-t � <br />State Liwnse Number <br />�� <br />Proposetl Usc of Builtling <br />Descnpuon ofYJork to 8e Done <br />NOTE: WIRING IN NON-DWF��INGS IS REOUIRED 1'O <br />B[ IN RACEWAI'S, MC OR AC CABLE . <br />c�TY oF EVtHETf LOCAL SALES TAX CODG IS 9105 <br />� nereby certily fhar I nave raad anJ examined fNs apo��c <br />com�ct. A/l provisrcns o/laws an0 ordinancCS govnming <br />whefher Sper.11ied herein or not The qranting ola pemd <br />violale orcance/ fhe provisions o� a»y otAer sfale orlocal <br />vodortnanceolcunshucfion ihatiamnuthw�zeJ,bytt�e <br />^vo�lor H�hich applicafien is mace and i compry wdh fAe <br />City <br />Siate/Lp <br />FhOnC <br />.h �� `�Z��t L��z �� F: I � �� <br />Liy S(Bt0lLip aCj�.. �l� Ei. phane <br />'� OC� <br />�3�C� , <br />Cantract PriCe of VVoh <br />G.�1 fY�.4-�. <br />COntaCt?er50n (PI2nRBvlew) <br />Bnd know the spme fo 65 tNo and <br />rpo o(work wili be comple(ed <br />not resume to give authonrylo <br />eguPriny construcron o� rhe <br />�� of fhis propeny t0 peAorm 7he <br />^ontrec7o�5 Law 18.77 RCW,�nd <br />FEE <br />50�� <br />E�3og����� <br />