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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />1 / ��`- �%�'t � �>'-� �>�t� <br />PROJECT ADDRFSS <br />1 � <br />Uf ✓'C \�, �)C <br />� � <br />� , � , I � ��� �._a . 1i���, l �' -'- �� %�� ���! s�� � .� c,J�,_ `is (,,z,,>�,,-���, <br />/ _�-�} � __.. 1._-__-_'-t1-__- ( J L _ <br />Ow�t��r A1ad Address City S�ale/Zip Phone <br />lr,nanl <br />':1. I. NA�G � C7/ �' � <br />Plnr,trical Conlrar.tcrt <br />Mail AAdioss <br />hlail Address <br />!���7 �'�� l<{{ E_ j'%�a 3 C'� lt <br />SIaIe I ir,ensr. Nund�r,r <br />(:ily <br />_�`.; � �; �' 1. :•.�, <br />��.1�• U <br />Cily <br />f'rupusaA Uso of Buldin� <br />i ( / <br />I�rscriplion ol Work to Oc Donc: � �� '�'L= ��.� <br />NOT[ WIRIN3 IN NON-DW[LLINGS IS R[OUIRED TO <br />13E IN R�CEWAYS, A4C OR AC CABLE. <br />Stalc/Lp <br />StataZip <br />Conlrad Prica o( Work <br />Phone <br />��l%�;.��c •lo9y, <br />Plionc <br />Conlact Pr.rson (Plan Revicw) <br />'�i �cr1,-�7 <br />CIiY OF EVERETT LOCAL SALES TAX CUDE IS 3105 <br />1 hrrrin, rrr6h tli,d 1 h;n r mdJ anJ ranniuiod this app6c;�Non anJ Fnna� fhe sunu� fo bo hue anA <br /><<v�n�;t �111 pr��� isi,ms ,d laus ;ind rnJin;inrrs go��onung Ilus typ^ ut �r�n6 w�ll 1��� c��rnplelcd <br />ul❑�fhr� 1pi��:il�rd heii��n n� nat Th�� ��nn6n�7 0l a p�anut docs naf !voswno lo qmc aufhority lo <br />� ndafi� nr cancel the /no�ysions o! uny �,Ihri stafe o� loc al la�r �equl;�6nc! consfrucfion or fhe <br />p��rfomr�ni.o o! constiucf�on Thaf I am aidhonred by the o�snei ol fhis pioperty fo perlorrn fhe <br />�to�h lor �vhich nppl�cntiun is nrada �nd 1 comply wifh the Stafe Confrnefo�s Law iB 27 RCW nnd <br />79ti 200 11'AC. <br />i .' <br />�:;. <br />� ( „_ <_ <br />--�-r-- �� <br />���,:���nr �' . <br />FEE <br />��%���?—���� <br />Na4 e _ � erw��-� <br />���ti �s �'�,, a�� ��, <br />��_S�P��'(� C �-2�1U I <br />