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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, �NA 982�1 <br /> 425-257-8E10 - FAX 425-257-8857 - www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> ---- — �� S¢ <br /> 13c, ;� sa .� /ca ;l _ y1S <br /> PROJECT ADDRESS j sS <br /> ]'�2�4►� �i�n �i� ���� 13��� /c�v r��.,z .;�r� �"u 9�FzoF °� 3c� <br /> Slale/Lp Phone <br /> Owner <br /> Mail Address C��Y <br /> - -� City Slate2ip Phooe <br /> Tenanl �'all Address <br /> I .A �C I/ �tf'�a � �/.� 7.59 s-_/G/ <br /> ��y�/1 1�( �f�—������ SlaleiZq Phone <br /> Elec�rical CoNrar.lo <br /> , Mail APdress �'��Y <br /> � <br /> yi.���y�f f � / � CoNr� n W�rK <br /> S�ale Lir,r.nsc Ni�mbcr <br /> �I �' ' 'i L����� CorAacl Person (Plan Roview) <br /> Proposoa Use of Auildinc� <br /> D�+scripllun^'Wark to Oi� Dune ��f�"��'���� <br /> FEE <br /> NCTE BERN RAC W AYD MC OR AC CAB QUIREU TO �, G <br /> Y � <br /> I CITV OF EVERETT LOCAL SALES TA%CODE IS 9105 <br /> I hi�raby c�rtily fhaf 1 hevc rrad nnA cxrunineA fhis a�yrlirnbun end know fhe seme to be true and <br /> r oner.f r111 provisons ol I�nvs �nd or�hnar��cas yoveming this type c�(work will be contplefed <br /> �rhafher specd�rd he�ein oi nol The 9�+�nting of n pernuf Aoes nof ves�mie fn�ive aufhority fo <br /> wolt�fe nr r.rmcel Br.provisions o!eny olhe� sfale orlecel Inw re�ula'ing const�ucfion or fhe <br /> �u,ifo,manre o/consfrucfion. Thaf 1 am eufhonzeA by fhe nwne� ol fhis prupe�ly to peAonn fhe <br /> I �vork ler which applicnfion is rnede and 1 comply wifh Ihe Sfafe Confreclors Law 1827 RCW end <br /> ZJG ?00 WAC. , <br /> I -- --- <br /> . /�� // / /� / �I <br /> �. � �f— <br /> . ` �dlWe.--- ` �'- D.11e I <br /> % ��(uid Cyj � <br />