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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES b-a3-o� <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257•8810 - FAX 425-257-8857 - wvvw.everettwa.org �C��O{� -� � 3 <br />l[i � 2- � S ��I' �c� <br />PROJECT ADDRESS <br />c, <br />Owner <br />TCf10f1� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />Idad Addicss <br />Mall Address <br />�t]z (L � e- �ii e�� Q.c. (�,k �?yt;�', <br />Elec�rical CunlracWt Mail AJdross <br />s��� ��r� r1F <br />Slolo Licnnse Numbcr <br />Propuscd Use o� �uildin� <br />Cily <br />Cily <br />�w� �,�1 �1Y,L"11 <br />State%Iip <br />Slalc/Zip <br />Phr�nn <br />Phonc <br />`IYsrY>Z- <br />- -1ti����. �RsX- c._� 5if�43 <br />Cily Slale/Zip Phone <br />� %�-� �_ <br />Con�ract Prico oI Wo�k <br />Descripli��n o� WorV. to Do Done: �`�lv`��x.J�FCx.I <br />NOTL Ai'IRING IIJ NOtJ-0l"JGLLIIJi�S IS f:[QUII2ED TO <br />N[ IN I�ACFIVP.1'S, 61C OR AC CA�LE. <br />CITY OF EVERETT I.00AL SALC-S TAX CODE IS 9105 <br />Contact Porson (Plan Rovicw) <br />1 hemby� ci�rGl}� piaf I ha��� roiiJ and ��rnnuned this nppli�nhon ond kno�ti tho semo fo ba true en[1 <br />ro^ect. All pror�sions vl ln�� s �urd crJ;ne�ncos ����, arnuig this f��pe el �+ork nill bo cornplofed <br />�rhethfv spoahed homm or not Thv granfinp o! n pormd does no( p��surne fu give authordy fo <br />viola(i� o� cnncul fhu /nonsions o/ a+�q o(lier st�to or lucalla�c rogu/ebn� con56ucfion or tho <br />per/ornrc�nce ul consl�ucfiun. ihnt I um eufhonzed Gy thu o�anor ol this property f� perfunn fho <br />worA lor nhich apphca6on is mad� ond I cornply wifh (ho Stale Cenfractors LaN� i B 27 RCW end <br />79G 2U0 11'AC. <br />C <br />� -� ^_ _. <br />`---'r —��� , <br />� = _ �r <br />--- - -- <br />_.a»r�,nr�"r � --- ' � �i� <br />- - ----- — - -- <br />f[E <br />I <br />i=vhvCv-r13 <br />