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_ _ __ _ <br /> � <br /> i . <br /> I ELEGTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> ' 3200 CEDAR STf'.E[T, EVERETT, WA 98201 <br /> 425-7_57-Fi810 - FAX �25-257-8857 -v�,vw.everettwa.org � `a 3.�O <br /> APPLICATIONS AR[ ACCC•PTED FROM 8 AM TO 4 PM r/Q O��C�� <br /> L <br /> 1 �1D Z3R`c SfrP�e � _ � <br /> PROJECT A�RESS <br /> yzr- 37Y- 7�v�/ <br /> �gUr ��\-I_�bt G�—_L_J � � - 2_3 Rd S�fPPN'� ��E�Z�S '�_ Z6I <br /> wner i�lnil Address �����- f���y t 'tatelGp Phone � <br /> .S���L� ---— <br /> Tenani Ddail ACcires, ��- -�-� ���y Statel7.ip Phone <br /> G"v�rCf1� G�{�, 9�2o3- 2s2g <br /> _�r��_���/�-�r_J_c _��1�• �91 r�u� r��h_w�yr��Q.----�zs -�z z-29so <br /> � � / Stale2ip Phonc � <br /> 6leclri. Coniractar 6�.�d4cinicss 1 � <br /> � �� <br /> .��.� �1�F� `I_�_c__L ,�. <br /> State License Number Contrad nce of NJork <br /> pr�c�s�(f3uildin9 Contact Person (Pl�n Review) <br /> ' __.Co.��l�F��Ki��e—!'e�1 r�P <br /> Desc�ip�ion of Wnrn to lie Uo. e. <br /> 'I ----- ---- — <br /> NOTE: WIRiNG IN NON-0VJL-LLWGS IS RECaUIRFU I'O rFEC: <br /> 6G IN RACE�VAYS, MC OI2 AC CABLE. <br /> CITY OF [VERETT LOCAL SALES TAX CO�E IS 3105 ------��-�-'- <br /> I lrorchy cmfil} Ilri(I lmvc ro.id.'ind ua;uninod fhis applica(iwi and krmv fho sarne to bc:�u�and <br /> concr.L /111 p�ov�srons o/lnvs and oidmanccs�7ovonung Ihis typo o!rmrk will hc r.omp^ted <br /> I uvhr.fhor spac�fie.d hcroin or'noL 7he yr,inGng ul e perrnd doos not presurne to c�ivo aUtlwnty to <br /> i viuhfr.or'c��ncai(hu provi;ions of:�ny ofher slafo orlor.d!li�v re9ur�fqtp construcfmn or fhe <br /> pr,domi,incc o(r,onshvclion. Thaf!am aulfionzod by fha ownor of thrs iroporty!o perlomt tho <br /> wod: for tvhich applir.alion is rn�idc anil l compl}��vifh fhc Slatr. Confrac�ors La�v 18.27 RCbV an�i <br /> 2�JC 200 V✓4C. � <br /> � �, —/� o� /z3 zQ_��,_ Z,q� <br /> Sl�;natu-�/ r�—` - -- — o"'" — � <br /> ^//,_� <br />