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, �� <br />.- <br />-- ;�"i t��' <br />PROJFCT ADDRESS <br />/ / /. il.lii �~ <br />�` <br />�Wlll!f <br />ELE�TRfCAL PERMIT APPLICATION <br />CI7Y OF EVEIRETT PERMIT SERVICES <br />3200 CEDAR .iTREET, EVERETT, WA 98201 ,_� h_ L ; <br />425-257-8810 - FF,X 425-257-8857 - www.evereltwa org � <br />,L ..�'J..Iri% <br />APPI..ICATIONS ARE ACCEPTED FROiJI 8 AM TO 4 PM <br />L L <br />�)l� �' 7-� j;`S��L1 <br />r <br />l�` f�.1 �� .1.-�� � �L� �"`(� <br />� i.i:li� {1f�1)IP'•l ��1�j . <br />11!I11111� 1.i,nl l.:Idfr•d:. <br />l�r'� �t�-f �' (-`t _ �' ��'_ <br />lclectrical Conlractor M1tatl AAdress <br />, ., � <br />�4 r��:�`-�.�� � � � �,_ l> <br />Stat� I-icense Numl�r� <br />� �!. (ii� � �%1� f(`�� i �� ��� (���"� f 1_. <br />Propnsitd Usc ol Buildinq <br />Dc,cription oI WrnY, lo L�r. Dunn�. ( <br />O1 � <br />i��i_ l _ � <br />_ „_, _� —,,--, <br />- �° `-=�-`_-----�` <br />�./C�c -E'� <br />SIH�C'J_I�l <br />SI;de2qi <br />� <br />�IlOfll' <br />Phonr <br />� <br />Gty SlalerZip Ptwnc <br />�Z`7 � %2 ` / ( � �J <br />Conlract Prico of Work <br />� t_ ' <br />,T �- t-=� <br />(�"'� l�l�(C< � / <br />� Nc�ti�'� 9� <br />�� <br />NOTE WIRWG IN NON-DWL-LLINGS IS REQUIRED TO <br />l3E IN R�C[WAYS. A1C OR AC CAl3L[ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Contact Person (Plnn Revicw) <br />��� <br />1 hrrrL�� rrrtA� flr,d 1 hu� �� ro1iJ ;�nJ r�ammrJ fhis ,qiphrafi�+n dnJ Fnrnr fhe� s;inrc lo br fiur� ;md <br />���nr� ( i111 {�r.n�isn�rrs ��I la�ss �ind oNmana°s �orrnwi,c� fhis fyp�� ol n�ork wdl be cnrnplefrd <br />i•,�lirfhr�r sp��� i0��d herrm n� nof The granfurg ol a pernuf doas n�N vrsurn� fo grve nufhnnfy fo <br />� iolafo ��r r�ini i�l (hr qro�asions Ul ��)' ��thcr sttrto or lo�al law �opu��Gn� cunstnrc6on or fho <br />��i��Anrn,iu�� � d c.�tishl�c6on -�h f ln� aufhunzed Gy Ihe owne� o! this pruperty fo perfomi the <br />wo�h h�r ,tihu•Ij .inplri+Un �S ma�� and Itornply nvfh Orc S(atc Conbncfors Law 18.27 RCW and <br />79d ZOiI 11'�1a. <br />� �,.�' % ���.-_�- � <br />�4--� � �� L1� ' ��o` C�� <br />SipnaNre Uate <br />�� <br />FEE <br />