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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 1/ --� �-'-� � <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org �a g/i -D56 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />, � �, �� _�'c � s � <br />� , <br />PROJECT ADDRESS <br />�� (.'.�� e� ��C`�-%%i � <br />Ownr,t Mml Add�ess ���Y <br />Tenan� <br />Mall Add�ess <br />� �.�.h � 5 �r���'� %l <br />[Icclrir.al Conlr2clor Maii nadress <br />'- � �� <br />��,� � �= ro� rK, <br />State License Numb�r <br />� <br />l�,� !' �:✓ � ['7%19 'L� <br />Proposed Usc ol l3wlding <br />Ocscription ol Nork lo �e Dona: <br />NOTE WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEW�1'S. MC OR F�C CADLE <br />CITY OF EVERETT LOCAL SAIES TAX CODE IS 3105 <br />Ihorrbyir. <br />i �•nrrf All <br />�t n� k lor� �1 hicf i <br />;'9(i 20(� lNl1C. <br />SlatelZip Phone <br />�i�y Slalel2ip / Phonc <br />�Sz��s� �(/l.r/ � ,��..�n�`� <br />cuy � s�erz��>�,' s �-ri,��,� <br />�.�,`-'�n CC, <br />Coniracl Prico ol Work <br />Conlacl Person (Plan Rovicw) <br />Ihuf 1 ha�r rrdJ nnJ rednunrJ tlus apph, ;�fr �n ��nd hnu�v Ihe sanic to be Irue end <br />�I;e�ns ollmts enJ orJin,a�crs ynrorn�ng fhis I)pC ol u�nrl� �rdl be cornplefed <br />:�J herein or nut Th�� q�enirng o/ n perrnR does nof presum� to give aufhonry fo <br />rl Ih rvowsions ol nny ofher staM ur loral law regul�fm� cnn56uchon or lhe <br />Con tiuchon Th�t 1 nm aidhonre�dby Ihe owna o! fhi; property lo pe�lorm fhe <br />appli a6on is rnade . pd conr Iy;,WQh fhe� Sfafc Confrt�cfors Law 18 ?7 RCW ��nA <br />'' ��� <br />' i. <br />� � � �_ �-��� <br />��=� -- �'� _._ -'- � <br />- <br />� <br />FEE <br />.i <br />L�; .,�� ,-, i.�\� <br />