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, ELECTQICAL PERMIT APp�I�ATION <br /> . � � CITY OF EVERETT PERMIT StRVICES <br /> 3200 CEDAR 5TREET, EVERETT, W4 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> _ �`�� � ����- � � <br /> PROJECT ADDRESS <br /> I./Ct ;��L� / �(/ i /- % I ✓N/r�f✓Y'P� (�✓c,!"/�'1�01��_ JJ�'V {'vP.�r� /v/� /��1�� <br /> Owner hlau Atldress ity State2�p Phone <br /> Tonin� MailAddress Cily Slale/Zlp Phono <br /> � ���� ' '� �Ji �.;- <br /> .,� �� <br /> I \r� . . j 1���� ,. , ���_ ���'L3 �S� - �-�� `,j��., cr �� .�,l�ieD��� fCi�i �✓1� '�� Z �`� _ <br /> f:ler,lnral CoNmr.tur Mall Address City Slalel � Phone <br /> 5�t�� o��f�1� q�3��h� �iS�o °� <br /> c Numbcr Contracl Pricc of Work <br /> � 1'�s' - <br /> Proposed Use ol Huddmq Contact Person (Plan Reviow) <br /> Description o�Work lo Oe Dono; �����r:>> u.� ��� z J':- I��� { G,� _s:. l�:C�v,L��. 1 �.J�rr s <br /> � <br /> _ ��\ ��_�J�_v•���_iL'� \_ .�...� .l�"1 � �f;_:�_'p•�11 \ C��� �u� �S\ l ' i�� •"1 <br /> � , <br /> _�'.�..' ' � . _ . ._ .�._-'_ 'J._ _ L�L. <br /> NOT[ 1'�IRING IN IJON UW[LLINGS IS REOUIR[D TO FEE <br /> DE IN kACLW�1'S, MC OR AC CABLE <br /> CITY OF EVEt<ETT LOCAL SALES TAX CODE IS J105 <br /> 1 hnrrfiy �rrtd} fh.rt 1 h;n r irdd unJ r�.enrnu�ed fh�s npp6c:�6cn anA,.no�r Ihe saru�fo be frue nnd <br /> r-nnrrf Ali prnutii�rns ol I,m�and��rd�nnncas y��vern�nq fhis lype o/worM will be cornpMfed <br /> �+�hrfh�v e�peu6��-1 hrre�n ar n,�f. Thr g�nn6a9 nl�ponnit does nul vesurno to pi��e authonf}'fo <br /> vmlFlfe rn cnnn•1 fhe Ino��isions n!nrry ofhri sfafe qi local law regu�ntmg conshucfion or fhe <br /> prrforrnance a�consf�uction Thnf 1 nrn authon:rd b}�Ihe owner ol fhis pruperiy fo pe�forrn fhe <br /> work lu� which epp6cnhun is rnade�and 1 rrnnply n rth fha Sfete Confiaclors Le�ti I8 27 RCW nnd <br /> zsc 20o wac. <br /> _ --• iz, <br /> �.� _/� ,.�f� /" �<?� <br /> ----.�gnaW�t� `? --- oa�e <br /> � <br /> ���� � �� <br /> 1 <br /> � <br /> a— <br />