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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everetiwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> •23 � 7 - ICv "` si SF �� � �b <br /> PROJECT ADDRESS <br /> 42�- 339- 1 t9�— <br /> Mlict YA /tJl(_�'�---- 2 .'ti '7- ivo �`' 1 ;- J-r Fvr �c,s77 i.�-�/1 '�Be� <br /> Owncr A1ail Addross Gty Slate�Zip Phone <br /> � <br /> Tr.n2nt Mall Add�ess City Slale/Zip Phonc <br /> �G- l. f=_.[,f=_ c7 /�1f SCL'.v��f. 122!'- )38�JT.te /b�l�/ C�Cr Ek �itcLl t' — <br /> [Icdrir:J Cunlrnr,lof M11ail AJdress City Stale2lp Phcnc <br /> t�-y. L r L�.1 i z 3 � N 8.� . o a ---- <br /> Stale Ln�.en,�� Numbar Conlr�cl Price o(Work <br /> UE7NCNEu GA�e %.c�� �,weic�lcJJlcV� --- <br /> Proposed Use ol Duildin� Conlacl Person (Plan Review� <br /> Descriplian of Wort,lo�o D�mc _I=� 1Z NI ✓�ts_�y J E i� TO 1-7�/� �N t�L Gi�,�A G � <br /> /-1tG�_ �x (.1�7/1/ U ICY• TIUF LT /��JN 1-/uv-jf=. .SQ2�1«i- <br /> NO1 E WIRING JJ �JON-DWELLINGS IS REQUIR[D �0 fEE <br /> BC IN RACEWAYS, MC OR AC C�OLE <br />� CITY OF EVCRETT LOCAL SP.LES TAX CODE IS 7105 <br /> 1 hereby coililp thuf 1 ha��e read unJ esaminoJ Ihis npp6catron r�nd Mio�r the sum<r lo bo frue nnA <br /> corrocl /111 p�orisions ol la�ss and urdin�ncrs go�i�nnng fhis fypr ol n�ork �rill bo cornpleled <br /> �rhefhor sper.iGed hcrein o� nof The�ienfm�o!n pernuf A�,c�s nof nesurno to gire oufhonty fo <br /> vlulafo or canccl fho Ivr��,�siais o!a�n��of6er st.rte or 6��nl l;��s regulefing consfrucfion or fhe <br /> pertonrranee o!construcfion IAtrt 1 ern nufhorired b��fhr on�ner o/tl�is proporiy W porferm th� <br /> �rorN !or which apphca0on is rnado and I comp!} �+itli thr Sfare Confrncfo�s Lnw 18.27 RCLM1'end <br /> 79f,.Z('D WAC. <br /> _ ' � '�(l ✓�f" -�' �'_ 7 c' " U fj' <br /> ��.�n,�tm,. �'. . __--- -� ---�ioto --�----� <br /> c`oa�e� -��,S I <br />