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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98207 � p —/y`/� <br /> 425-257-8810 - FAX 425-257-8857 —www.evereltwa.org �/�/p— O9 2 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ' :� - 7 I > > �,. ; r r,� <br /> PROJECT ADDRESS <br /> q� r - 2H� - ZZ3 ( <br /> lir� J � H' I• „'� jDi- r . , l. {" ����� l:ar. tiGGJ /•:L4lc .i.i ,� 1.11A `jYruG�9- -�GUry <br /> Ownm Mail AUdress Ciry S�ale/Zip I'honc <br /> F 1� �..�4r '(l=_ — <br /> Tenanl Mail Address City Slale2ip f'1����� <br /> 4 ��7u1 S��i'� <br /> r X� ' l L l- - �c It r / 1 Z C ' � .J a'^3 ,- ��� /H I I C i:F "n f C✓A l7��, 1 t -2 o C�I/�l 7 d I 1_ <br /> Eloclrical CoMrac�o� fdail Addr�ss Cdy State/Zip Phonc <br /> t k ��_ (•_. 5 � 1 � c �i �rvnti ��7c.�.�-c <br /> Sl,dr. Licr.nsr. Number Conhacl Prico of Work <br /> C �_(� i��i� < I�NL� P — <br /> f'roposed Use ol�uilding Contact Parson (Plan Review) <br /> Desr•�;•tio��ui Work to Do Dono: �.v � R '- ' e:E�i�M i� Ie} LN� . <br /> NOTC: WIRING IN NON-DWELLINGS IS REQUIR[D TO FEE <br /> �[ IN RACFWAI'S, MC OR AC CA4LE. <br /> CITY OF EVERETT LO:AL SALES TA% CODE IS 3705 <br /> 1 hrirby���i61y Ihnf 1 hnvc ronJ anJ oXrunmed fhis npp6cation end Mmnr Ihe some fo 6e Inm and <br /> rnnecl All p�ovisions nl lmti�s und orJinances povenmig fhis f}'pe o/«�o�h wdl be complefed <br /> whnlher specilfl�d hemm o�nof The gr;vn6nt�ol n pennd dons nof nesum��fo c�ive aufhonty fo <br /> wolafe ur cancel fho rvo�-isions ol any ofhoi stafe or local law reyu�ifin��c�nsfrucfion or fhe <br /> palarrnance o!consfruc6on Thaf 1 om aulhonmd bp the owner o/fhis pruperiy fo pe�forrn the <br /> wo�k lor �vhich app6ca0on is �u[�de nnd 1 comply�sdh Ihe SfFlfe Cunfiacfois Law 1R.27 RCW anA <br /> 29G.200 WAC. _ �r� <br /> ' ) d-_yl { �1/, �� � � � <br /> Si)n,�huc Dulc <br /> � <br />