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ELECTRICAL PERMIT APPLICATION <br /> CITY OF E.�ERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �O �(8 `�� <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org C//! O � �� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> %r''� 3 / `;> > J> > � 5�, <br /> PROJECT ADDRESS <br /> Z y�S �L�d(?�' <br /> : � <br /> �- � � �r_ ��'17 ,/ �'��' S� 5�� f✓.�r7��?i'� - <br /> Ownof Mall Addross Cily SlalelZip Phnnc <br /> Tenanl Mell Address (:ily Slale/Zip �'��o��� <br /> �> L,/ ' � � <br /> Eloc rical Conlractor Mall Address Cily Slate2lp Phone �� <br /> S�ata Licnnso Numbr.r Cont�ac Price ol Work <br /> � /' �� — — <br /> Proposed Use ol8ullding Conlact Porson ;Plan Revir.vr) <br /> �)' /' {/.� -r <br /> Di�sr.ri��lion of Work to Do Done: ��J�J � ��--F "" ��%�y=f`- - <br /> / <br /> NOT L W 1121NG IN NON-UW EL.LINGS IS REOUIRFD TO � �E <br /> C�L IN RACEWAYS, MC OR AC CADLE, <br /> CITY OF EVERETT LOCAI. SALES TAX CODE IS 3105 <br /> 1 he�eby certily Ihf�f 1 hn��e rer�d and r.xernined this applicafion end know fhe seme fo be fnio nnA <br /> �lnnoc( All p�ovisiorrs pllnws and ardinencrs povernmg flus type ol work will bo complefeJ <br /> �5iiethcr specifir,d herem or nol. Tho prmiting ol a perntd dons nol vosume fo give euthority to �� <br /> ��i��Info or cencel fhn I�rovisions ol any ntl�er sfnfe oi local lnw re�ulefing cansfrucfien or fho //n -�� <br /> ��eriomiancti ol construclinn Thnt 1 tun auffrorizeA b}�fhe msner o/fhis property to peAornt the � L" <br /> �tinrk for which npplia�fiun it rnnde nnd I conrP�}'a�ifh II!e Sfnte Cenfracfars La�v iP.27 RCW and <br /> 29G 200 WAC. <br /> I � � <br /> . � <br /> _ .L� Y-`�� -�`'"+—F-----�—�Ilal��� �� — <br /> . i,iiclhnu <br />