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� _ . . . . . _ _. _ . . _ . <br /> ELECTRICAL PERMIT APPLICATION I <br /> I CITY OF EVERETT PERMIT SERVICES ' <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> ' 425-257-8810 - FAX 425-257-8857 -www everettwa org � `'�` �z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM L.r/7�� �D6L � <br /> , ri,�7- i�,� ,. � ,, , �t •� L ��, ,,, 1 <br /> I PROJECT ADDRESS i <br /> � �� ��: 1� �� �� � `�ii '-�'j � �rli� 1','�: [. i1� �[ viX �li � llaL�lb.�c L..�. •����.� , n� I <br /> i Ownei Mad AdAress CAy SlalelLp Phone j <br /> i <br /> CI (•L-L_! .; � �+�.';"' c !{i4>(fi;i. Ij��7 U2�Si. 7� )a�� l_ LLU:c7 l�.A. �� �2iy <br /> � TtnaM Mad Address Ctly StatGZip Phone � <br /> �l��i.��T I)=v'�C�� 1 .�i . Ir� l f�:.lx..� ';�iL .� :1ti. �)L [ �\vKll�ti- �lq:-/� � 1/ 1 Lu>���L��l'' i 'i`�I <br /> i flCCinC21 COn�r.ictot Mad Acldress Ctly S�a1MLp Phone 'i <br /> � r�{'���i � �. � . `19r�� 1��ILl ct� . <br /> � State License Nwnbei Contrad Pnce of Work I <br /> Cc �.,�r, �� � ,� 1 i�? t IZ�wI. <br /> � Proposed Use of�wldinq Contad Person (Plan Review) ; <br /> , DeScriptionofWorktoBeDone � y�;l� ll �l\.hv.w�,�-\•.<1 <.�n; � r .� `�.:�(���''��� -� 1 ' .�i_�,2- ��, <br /> NOTE W�RING IN NON-DWELLINGS IS R[QUIRED TO FEE I <br /> BE IN RACEWAYS, MC OR AC CABLE. ��/ C'� I <br /> i <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � <br /> � I herehy catdy tha!1 havq innd arrd ex�nrrnr.d fhrs applrcal�cn�arrd hnow fhe svmv fo bo hue ond �I Z(l7 � �)�� <br /> rnnecf All piovisruns ol laws anA ordmnnces govenung fh�s lype ol work wdl ba cornplofr.A ��— V 'il <br /> �, whothr.�specJmd hemm or not Tlre granhnq d n pr.mn��kx!s nol vesumr, fo gm�auiharty fo � <br /> �� viola(r. or cencel fhr>/novis�ons of:�ny ofhr.r slale a locnl lnw iegu�ahrrg r.nnsfrucLon oi fbe <br /> �� peAo�marrce o!Conslrur.hon lhat 1 anr aufhonrc�l Ay thr,nwnnr o!Ilus ���,�ony ro�m��am me I <br /> ' wnik lrn wlur.h�ppHcnlrnn is�r���de nnd l comply wrlh 1hr Sfatc Conliarl vs Law 1 B 27 RCW anA <br /> 796?00 WAC <br /> � <br /> ?,,.�,.,. C 2•I 3 -(Z �� <br /> Sgnalure� Uate �I <br />