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�LECTf�IC�►L PERMIT APPLICATION <br /> C1TY OF EVERETT PERMIT SERVICES <br /> 3200 CFDAR STREET, EVERETT, WA 982C1 <br /> 425-257-8810 - FAX 425-257-SS57—www.everettwa.org <br /> APPLtCA71oNS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1 D0�2 g �,2�� O� S� ,V� <br /> PRa�cr,nDfl�ss <br /> L�i171�� 2 � �l .G l '"�'Y�'��7/ l Gr/ � ���� <br /> OrrtiCr Mall AaOress City ' / S P�� <br /> ✓ <br /> Telk3t7t �/� 1.4si1 AdAma:. Cily $IDtClLp ��� <br /> P�/S�a� ���i�!���15"�/l.i' �I�,.T�.�l/��/,r�,1�9���Z2 <br /> Elecuical Cc;itrador M�a ncfdress ay S�a���rc, pn«,e <br /> p�ec ��e ��1� S <br /> �te Liconst+Numher Contract Price of WOAc <br /> ,e (�/ �V► � �1 � �'� ��1�� � <br /> Proposed Use of 8 Bd' Person (Pian Review) <br /> SquBre Footago(If rCsidonr,l naw con�wction, ranodel w addition) <br /> Desvipuon of Wwk lo Be Dorre. <br /> �. �'� ; � � ,� � • r �'1�� � (, ' <br /> �'�� 1 !' �� (,�/�l% �J'� - <br />� . � <br /> NOTE: WIRING IN NON-DWELLINGS IS REqU1RED TO FE[ <br /> BE IN RACEVJAYS, MC OR AC CABLE. ��� ����� <br /> �. �, <br /> CITY OF EVEREIT LOCAL SALES TAX COpE IS 3103 <br /> I hweby ca0'ly Uisf 1 have rsaci and e�cenunOD U�is npplicn8al and btow the samo f0 be bue and ,-,_ <br /> com�cl Alf prov(sions nIlnwS an�orUrneurcos gavem(�(his typo of�wrk wrl!be canplaroo' � � � —� _ �,� '�7 <br /> vrAotfler s�wGlWd AerWn of not. Ihn yran6n9 N a Permd does rrotpr9sUmo lo grw sutherity to � I .��) — `� � 1 <br /> via'ettB a cancal the provislans of any o(horstnfo er IOCa/!aw reyu(u0'np opnstructi�n a fh� <br /> ����/wmanco o!consiruc-�on. 77ief 1 tun autnorizotl Dy tt�e avrie�ol ltt�s to porfNrn ttre <br /> � xk lor w1Nch oppUCotion 1s mado encl l cwnp7y mth�e Stato Con . as Lew i8.27 RCW And <br /> 29G. 00 WAC. <br /> �Ig I� <br /> igrwhxe ate <br /> L.� __ _— �.-. <br />