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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 />APPLICA710NS ARE ACCEPTED FROM 8.4M TO 4 PM <br />-- ----- -- 3 -�3- � <br />�; 17703-�3(0 <br />PROJECT ADDRESS ' <br />OWller <br />ntiil <br />Tenanl A7all Addross <br />I / ...._�_.__..__.'. .__-- _ .-'.__' r__._- <br />Blocincnl C„nlrnrdui f.t.�d� r i�i <br />I Sin(o i n�nm:�� Numbri <br />Proposed Use of Auildinq <br />Doscriplion ol Work to Lto Dun�� .'_. <br />Clly <br />Slale/Zip <br />City Slatc/7.ip <br />--i�.d, ------- _. scid� Z��, -- - <br />f:��n�r,n.11'ricuulVVgrk � <br />Conlacl Pcrsan (Plan Rovicw) <br />� , 7 . ' � <br />NOT[ WIRIIJG I�J �JOW-0WCLLINGS IS R[QUIRED TO FEE <br />�[ M R/�Cf_W�l S, I�:C OR AC C/�l3LE. <br />CITY OF EVERETT LOCAL SALES TAk CODE IS J105 <br />1 herohy rr,riily (hnf 1 hnre r�ad nnd rxnrnfnod this applica6on end kno�s fhe seme fo bn, frue encl <br />conerf All prowsions ollaws and orthnences go�-rmin[� fhis fype ol Hvri� will be compl�ted <br />whefhe� sprr�lied herein or nol Thi� �ran6ng of n pennrt dn<�s not iresiane fo �n�e euthonty fo <br />nolafe or ca�iael fhe �n.�visi��ns �d ,in} �Nh<�r slnfo or lecnl Ir�n� rr�ulo6ng conshucfion o� fhe <br />perlorrnenre ol rons��u�:h��n 7hnf I n��i nuthnn.���d 1�� fho o�tner ol @us property fo portomi flra <br />n�ork l�r �rh�r.h app6rdh- n i� ni,iJ,� nn�! 1 rnrnr�l� n�ifli lh�� Stafe Confrecfois Len� 1t3 27 RCIM1� end <br />79fi l00 WAC. � � <br />.—___ Snu�.�d.i �, –_. . . __'--__—. _ _–. Ua�e _ <br />.– � � �/ �i � � �I 4� <br />Phonc <br />Phone <br />f� <br />