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ELEC i RICAL PERMI'T APPLl�A�ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 , <br /> 4.^_5-257-8810 - FAX 425-257-8857 —wv�w.everettwa.org <br /> � �i C i' '.' j <br /> _ APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � <br /> • � � / �l < < <br /> .�.�._.- L� � - � ( -� S �: <br /> PROJECiADDRESS <br /> C Littl <br /> .5l_�I � N�c tt ��Ml�y '��I)�Lk'_S ��'��(� �� C � ��� , � ttiy ( ,1. . I : .,- <br /> Owncr MaA Address — <br /> Cly S e/Zip Pho.ie <br /> y l <br /> <<� t� C_l�C _C" 1�41 i ' 1 I �� � � •� '� � ;1 ' ��- )�. � �� I � ��-� <br /> 7en�n1 Mail Address — <br /> city Slalcrzin Phone <br /> SNOHOMISH ELECTRIC, INC. � ' <br /> I [� I��y_,�7�_' `�,i,�ltun>>c�, �.+A �1� 2�t� � ?i-�"�5�� �� <br /> FlCctrir.nl Conlrar,tof hlad Address 7— - <br /> Clty SlatclZi�' Phcnc <br /> SItiC� H d �—Y � � Cl�'6� �--F" [,�� �� ,) <br /> Slale Llr.enso Number Conlrac��,vork <br /> Proposnd Use of f3uild�nq Con�ac�Person (Plan Revicw) <br /> Descripllon o(tYork lo Pn, l�ona� / s�'' T/� (_L <br /> , - <br /> -- _•_-- �l�' l 1-( � �vP_ �n.17�� e�rF�L <br /> C C�.��f � (��.�,�rlT � <br /> ---- —._— <br /> NOTG �NIRING IN NON-DWELLINGS IS R[OUIRED TO FEE <br /> B[ IN RACPWAYS, MC OR ,1C Cl1DI.E <br /> ' // / <br /> CITY OF EVERETT I.00AL SAL ES TAX CODE IS 9105 --'—`y/ , <br /> l hr.reGy certily tha(I h,ive ieed and examired U�is npplicnlien anA Fnow tlir, sarna to be tn�e and <br /> 5�refl er specifie�he el n/or nof nTl e y ear f r,g�l a penn t dues nof�p r s /u ne/fo�g e aufhod�fo <br /> � p�ri�m�ni e o1 cornsfncfion n fhnf I�am e�utl orazeA�y the owr e�ol fh s�mpert}fro p�o�im(he <br /> worh 6�r��hich ppplic:rtion is made and I cemply-H-ith(he Sfafe Contrndors Law 1 N 27 RCW anC <br /> 2'���:lUil WAC. <br /> ! ' �� � ��� -013 <br /> - - - � " � �-� /( <br /> Siynalurn - )ale <br />