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-- -- <br /> ------_ _ . __ � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRFET, EVERFTT, WA 98201 <br /> 475-257-AA10 - FAX 425-257-8857 www everettwa org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> 1'1a-O - � U�t1� �'\a,�•� �.�. � ��<<��;.i-1, �l Y � Cb <br /> PROJECT ADDRESS <br /> �-1 �U ( O[*tln <br /> r <br /> CL`�2c��� \w. vc�tivv�ti �.t +Iz.�t, `�. -- �—�—° t �, ��a� b <br /> �------ <br /> Owner MnilAAdrwss Cny State�lip P�one <br /> M,,1�'. ���z�t i�� o - ,vc��.. �� �.s�. 5,�. .4v�•4�-�_�w A q5�ao� _ <br /> Tanenl Mnil qAdrest Cily Slele/Zlp Phonx <br /> �t����' f�2v�rJ.r �lZ�•� Ct1'�S) <br /> � � ' � �11�K�\tiv wfr l r} 3`1�1-SU44 <br /> ;�� IV ccN ,.3�v�c. �v�t . alz�._ _ _ _ _ _c_ . ��S <br /> F.ledr�r.fli Conlrador Mell AAtl�ess c�ry S�s�e�71p Phone <br /> R�o��� r�s . •� � u - -- fl � oo `= — <br /> S�ele L�cense Number Contrect Pnce ot Work <br /> Cvrv`w���v� CU�'V�VY�CvC�2. \ �'�''•�\ �'�-��s�•r� <br /> Propoaed Use ol Bu ing Contact Peraon (Plen Reviewl <br /> Descnplion o1 Work lo Be�one 1 ° 2 �__�__[_y����v N?llv ��� UYh�v�T�`i!� _ <br /> I <br /> �,r„ < `���_m_����'�`�,�t-''�T,.. <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO FEE <br /> BE IN RACEWAVS, MC OR AC CABLE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily thal I Irxve renA and exnrmnaA fhis ppplicehon end Fnow fho seme to be Inie end <br /> co�rer.t All prvvis�ons o!lews and n�Ainances govammg fhis type o!worfi wdl be mmpleted <br /> WhBfl'B�9(l9f,IliHd hB/61I1 OI IIOI The grenhng ol e pe�md does nol p�esume ro give eulhonty ro <br /> vrolnte or cenr.e�Ihe provrs�ons nl eny ofhe�slete or la;el Inw regulehng consfruction or fhe <br /> pedormence ol consfrur.fwn Thof�nm euthonzed by fhe ownnr ol fhis propehy!o peAo�m the <br /> work lor which epP"r»hnrr is mnAn nnd I comply wifh fhe Slefe Canfracfors Lnw 18 27 RCW end <br /> 196.?00 WAC <br /> cwv �:. �l- 1S-u 5 <br /> ignatu�e ---�--------.._.-- Dele <br /> � _ <br /> � l � I <br />