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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 'O`f�(`/b <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C-/D/a '�� g3 <br /> .� �l � 7 ;,/ � -rA' �(/L �� S�c L <br /> PROJECT ADDRESS <br /> (hvncr hlail Address City Slale2ip Phonc <br /> � ���/11'1.1 � �. !�'�t t' <br /> Tonanl hlail Addross City Slale2lp Phone <br /> � <br /> i <br /> _'t_Sti._c;�. �i� C�<<��';� �'Jh ZXo Si•-.�.,,c.:� S �4 f�'if/ 5�15- .1.3Y lS� - <br /> fleddcal Con�raclor Mail Addmss CIIy StalclZip Phonc <br /> � r. .: <br /> � <br /> ��l SS;� l E L � , � G'i�'- � � .� �v - <br /> Sla�o Liconsc Numbr.r ConVact F�rico of WorY. <br /> t <br /> I���f•\� ' — <br /> Proposed Use o� Ouildiny Conlncl Person (Plan Review) <br /> Doscriplion ol Work to �a Duna� --� ' -9 i��; -�Y i 7�'i�� � 3 S "� �) �`.J�� �"�" <br /> �u ��'���'� ���� <br /> NOIE: WIRING IN NON-DW[LLINGS IS REOUIRED TO FEE <br /> �6 IN RACf=WAYS, MC OR AC CA[3L6. <br /> CITY OF EVFRETT LOCAL SALES TAX CODE IS]105 <br /> I hwi�bv civfdy(haf 1 h�n�e m.�d nnJ r�nnunad fhis npp6ca6un anA l�nmv fhe snme fo be true enA <br /> narucl' All provisrons ollnws end ordinnnces gorormnc�this f}�pe ol�vorH wdl be conipleted <br /> �rhefh��r s�+ecdii•d hru�7n ur noL Tho c�rantln�ul a pennit Joes nuf/neswne fo pive nufhanty fo <br /> �-iuli+tc o� cr�nccl(hc rronsions u(any ofhw sfafe or localla�r re�ul.�finp conshucfion or fhc <br /> pv�l�vnianr,e o!cons�rucfion. Tlr,v(1 om t�ulhorize�J by fhe a�tinu�o!fhis propert}�fo perfonn fhe <br /> wo�k !or which npp6r.n6un is m;iiii�anJ 1 cornply with fhe Slnfc Confrac(ors Lmv IB?7 RCW a��d <br /> 29G 2001M1'AC. <br /> . , . , _ r. �I n '�3 <br /> ---' ti�,i��,.du��:'- --- � - -__. ..� - --._.--. -_ _ -�iai�r - / L <br /> �-...--� �- -_ _.�---� � ---- - � <br />