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..,. Y. 1���� �.[.[.'��� �i/ v� :if�� <br />1 ��� <br />� �' .. � <br />ELECTRICAL PERMI� APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �_��.07 <br />320C CEDAR STREET, EVERETT, WA 98201 <br />A25•257-8810 - FAX 425-257-8Ei57 - www.everettwaora L Q70 j-U�i � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />I� �q I I� m�iYe�;� �. w.— <br />PROJECTADDRESS <br />Owner <br />T <br />h1�a Address <br />nadress <br />ConhactOf M11aii Addross <br />��-i+m ��� � i�i � �x . ss I � o_I o�- <br />State License Nuntber <br />Propased Use of 6mld�ng <br />Oescriplion o1 Work to fi� Dcnn <br />C�ly <br />Oi�;_< <br />� <br />Gty <br />State+Zip Phone ' <br />// �\ <br />�Staterzio vnc - <br />�'�� ' l''j q�- <br />StateZp Phone <br />-42�-8�3-�a� <br />Go/n�trad Pnce of Work <br />ConladPerson (Planlf2� iew) <br />NOTE' WIRING IN NON-DWELLINGS IS R[QUIRED TO <br />E3L IN RACEVJ,4Y5, MC OR AC CABLE. <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />� heroh:� eertJy fhnt i heec rend �v�d ea ar.uned fhis npplicaGon und know fha samo to be frue nnd <br />.: art+cC All piovisuns olla�:�s a:�d erdmances yoveming lhis typo ol �vo�k �vill Ge tomplefed ��� �, , j �,ry� � <br />�.,iiefher spocihed hc�eu, ornoL �ho grantiny ol a pemid Joes nuf n�usume fo y.'ve authaity to ���� � 1 l� <br />,=ola(e nr cancel the prw�sions o! ony other sfate or local la�i regulafing cunstruc6ori or fhe <br />:�erlarrrranie ol corsVucGun That I ym nuthnri:ed by the ovme� ol fhis Property In peAomi lhe <br />•.�orh fur �vluch �pp�icafion is niode anAl rornply �vilh fhe Sfnte Centracfcrs Law 78.Zi RC6V and -- /� i,���-}" 1"�"Q�/} <br />:9520qTt'AC . �•,••� <br />/ � �V � t� � <br />� ` �-�wc .x ��- � <br />1 i r�, n 1�� 3-�,-(��- -- <br />,� � �� ' � � <br />, �=� �125- �'i.e�-�� <br />`%' ���uti�'.4z5� (�OZ-�93�� <br />ill�� i- <br />