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ELECTRIGAL PERMIT APPLICATION <br />CITY OF EVERETT PERMlT SERVICES <br />3Z00 CEDAR STREET. EVERETT, WA 98201 3-� 4-�5 <br />d�5-257-8810 - FAX 425-257-8857 - www evere�Iwa org <br />c=o 90 3 ..11 � <br />APPLICA710NS ARE ACCEPTED FROM 8 AM TO 4 PM <br />i � <br />i �7 ���� ��1. � �L , il-- <br />PROJECT ADDRESS <br />� <br />��i� � ______. <br />17�VItl'f <br />_. ���'/� M'.._— <br />j T��nanl <br />�� r ;' <br />A1ail AAdross <br />Mall Address <br />�� � v <br />� -�'l ,-- �,�,� i �li <br />(:dy Sla�eiTip <br />`� L <br />Cily Slate?ip/ <br />�� � � N <br />�l 1� '_ i? �;. i�-;� z ��� k <br />I luctrical Contrac(or Mall AAdress Gly <br />� . � a- 7 � �.� � �� <br />�%�1 �-�1= 1�1�_i�l <br />StatA Licensc NumbAr <br />Slater;��n <br />'�:E �'�. �sn <br />Phan�� <br />°h1N10 <br />� � 5- 5`7c �� <br />Phone <br />Sf'//<?<fl>CJ c�5� <br />Conlract Price of WorY. <br />�' i'rnposeA Use ol Bulldmq Co�lacl Person (Plan Review) � <br />jU��scriptionol Work to Be Done: A� 11� �/ 5/�i./CL /�� L{-1�/�-� �� �' _ , <br />' %l� �/ _,._ _ni-`��.r�J Y/�./7/! � <br />IJCJTE WIRING IN NON-DWELLINGS IS REQUIRED TO <br />� BE IN RACE`.NAYS. MC OR AC CA�LE <br />�i cITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />�� ��v•�,�b� � rrhh fhnf I hace rodJ ,inJ ���;v�nim�d flr�s ;�pphr.ehon end know fhe sarn��� L� be hUe end <br />�� vr,�cf All pnmrsr��nti <J l,n� � i�nJ �nJinunces yovrmrn� fh�5 type ol wOrh wrll be con!plafed <br />wh��Niei sp�o0ed heram or n��1 I�hr, ��on6n� ol n pnrrnrt Aoes nof �reswne fo groe aulhonfy fo <br />vinlefe o� cancel lhe /�rows�on; ul any ofhoi sfe�e �r lucnl lew regufahng ronsfrucfror; orthe <br />prrforrnance ol consfiucGon Ihaf / em euflror�reA hy fhe owr�er nl tbis proporty tn pr.rform fhe <br />worh loi which eppbcehon Is rnxde and 1 r,o�nply wRh fhe S(efe Conf�actors Lew �8 ?7 RCW end <br />'196 200 WAC. . � <br />, , , <br />� Lt(� �llll�__{.�. <br />I <br />FEE I� <br />I <br />!= U�-11� ll� ', <br />R <br />