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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �_�� o�J <br />3200 CEDAR STRE�T, EVERFTT, WA 98201 <br />425-257-8810 - FAX 425-257-AP,o7 - e�nvw.everettwa.org �� g-Q%, <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� /� �� ��� C� <br />PROJECT ADDRESS <br />—/-��> 4'_ C,! "%S — -----. _ <br />Owner Mad AtlAress <br />Tonanl <br />����-- I l- — <br />HecVical Contrncinr <br />Mail �AAress <br />� <br />� <br />h�dll i1(���1055 <br />��A1 l�' kr� ��,�� <br />Stala Lir.nnse fdumber <br />�jF� �^-� � /t%1��2 L� <br />Proposed Usa ol �uldm{� <br />Cily <br />Stale/Zip <br />c��y siaieiz�n <br />������ S%����t� 5��tf1% <br />City <br />�� /, / <br />Uesr.riplion ol Work lu Oc Donc. ✓� /}��:_ � 'u L"� <br />NOTE WIRING IN NON-DW[LLINGS IS R[QUIREU TO <br />BF IN RACCWAYS, MC OR AC CABLE <br />Phonc <br />Phonc <br />Sl.ite�2ip lT�i� Hllyne <br />�'Lq2 <br />3,���> <br />Contract Price ol Work <br />Conlacl Person (Plan Review) <br />,(`/p� � � <_ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J705 <br />I hri��b� � rrLly� fh�if 1 ha� r rrdJ .ind r�,nnmrJ fhis applrcdhon onJ 6n�nt Ihr s.une fo be tnu� nnA <br />��on��� f All �nnvisons �d lau_s and �nJmanr��s qnn�rning fhis fppe ol worA H•dl be complefed <br />rrhrther spci:i6�+d hcvi�m ar nof 1 he �rdnhng i�l.i prmid does nof �resunm !o give u�dho�Ry lo <br />� n�late or cancql (he �iovisions ol nny ufhcv sh�tr rr Inc�l law rn�u�ifrnc� consfruction or (he <br />p<vfannance u! cons�iuc6on. Thnf I anr uuthnrv��J u� fho o�snr� a( Ihis properiy fo perlorrn fhe <br />�sork lor which epplica6on is rnaAe anJ I ��,,rnnly �ti dh fh�� Sfaf�� Can(iticlors Law IA 27 RCIN and <br />�1ti200 WAC. <br />� <br />�' �/� . <br />����. .! f <br />���n�,� � <br />! <br />. .-----�— /� ��"�� <br />liaie <br />FEE <br />