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EL�CTRICAL PERMlT APPLI�A'flOt� <br /> CITY OF Fi/ERETT PEpMIT SERVICES <br /> 320D CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 47_5-257-8ti57—www.everettwa.org <br /> APPUCATIONS ARE ACCEPTED FROM B AM l'O 4 PM - DEBIT X CREDIT CARDS ARE NOT ACCEPTED <br /> 1 1.� (I . ,1 l,�J,��r !x � �i�l I U� C'�' �/�-�'��� �.1� <br /> PROJECT ADDRESS <br /> �, ��,�Y � c1 aP �C�! �► ��- �3�"�-_�.��y�.��_ �� ��°, I ?S <br /> owr�e� M�,nrwr�:,s <br /> Ciry StatcrcP Phon> <br /> 7bflaflf Mnil Address Cky Sta[a2ip Phone <br /> �1C�vlr� � I,e �FY�iL 1 all9�� aci�t nai n C S��D�Cvtii�,�-�; _�i <br /> Eleca'1ralCOtrtraCtof MaIIAdErCsy C�ty StJ�elZiP PhOtk: <br /> F P�W T� 1.��� L��v�L � �,�� --`—. <br /> State I.lmnsp Number ' ControU F'nce o(VYork � <br /> ��.R��-�.-i- Lc�c� � (� r:-,.�,�, r �P� � u�-���� c3z <br /> Proposed llse oi Buildmg <br /> Con4�d Person (Plan Review) <br /> Uascriptlon of Work ro Se Done: f�?�('� �,, „�,,,., f/ � (�U��I � C,TC���� <br /> � �.,._..�._��a� ��L <br /> sn��-S�� ` y��1Gi��rlQ. <br /> NOTE� WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE Ihl RACGWAYS, MC OR AC CABLE. <br /> C,ITY OF EVERET7 LOCAL SALE3 TAX CODE I$3105 <br /> I hereby certity fhaf!have read nnd aza,nined thrs appli��Non and lmow fhe s�mr to 6e true and <br /> torreci. AI!provls/pns o/laws ond oNinances gwemmg thls rype o(work will be complefed <br /> wheUtCrspucified BCrCiD o[not. The jJr,�nling of a annd does nol resume fo giva aufhonty to i�� <br /> viaa(e or cancet q�e provrs�ons o/any otherstafe�locallaw regu�nng conshuctlon or me �� �� <br /> peAamance ol�pnstrucfion. Tl�at 1 am oufhw'rrFci 6y fhe owner o/lhis propody to poAorm 1he 4 i)� <br /> work!or w�id�appGcatlai is mada and I comp/y wirh the Stnlo Contracl�rs Law 18,27 RCW and ���" <br /> 298 2on wAr. <br /> ����� � <br /> ate <br />