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DEC-2n-e_'R1? It1:55 From: Tn:257PH�7 Fase:3'3 <br />ELECTRICAL PERMIT APPLICATION <br />C17'Y OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9A201 <br />425-257-881G - FAX 425-257-8857 -www.everetlwa.org <br />APPLICA710NS ARE ACCFPTED FROM 8 AM TO 4 PM <br />101�i � I IZ� S� ��_ <br />Pr�o.�ec7 nonRess <br />Ownr.i <br />rn�nl <br />MaJ AOdress <br />Eleclncal Conlraclor Maii nJJ�ass <br />�So�z 7 P� I��' D 7 <br />tita1C Li[ensr. NumLe� <br />� <br />Proposetl UsC ot ti���i �n9 <br />f.In;cnpOnn of Vunrk !n f{n Donr.� <br />NUTE. �NIRING IN NO�1-DWELLINGS IS R[cOUll?ED 1'O <br />t3E IN RACEWnYS, A4C OR AC CAR�E <br />CITY O� CVERBTT LOCAL SALGS TAX COOE 1�9 7105 <br />Cdy <br />Cny <br />Gty <br />StalelZip <br />Slata;Zip <br />S�ate�Z�p <br />� 3�� 1 <br />F'hpnp <br />l�� ,^ 6�� <br />Phone <br />� I� <br />Conlracl Pnce f Wo�k <br />�Qr-i '�-h°uX'.�'� <br />Conlact Ferson (Plan Review) <br />1 hereGv eertily �haf I h,7vB Ie�fld ARd [+a�9�liRei, fhi5 d(I�1lu:ahM1 A'1tI A110W Ii1P SfllIIP IO AB fNC fltl�Y <br />cc�rec! Au provi�luns ul l�ws and o�dmanr,es yovermrng fh�s p�pe ol �t�ork wil! bo com0letad <br />wnnfher spncilir.d horain or nof Tho g�anh�!7 0l a pei�m;f qoos not resurno to grve aulnonry m <br />viel.�te or ranual (Ire /!IOL'ISIOIIS O( 7/�V c1fYIC/ Sf�71C O� IC�"Al IflK' IC9lIPnfing censrn�cl�on vr rhe <br />pr.Aermence ol eonstruetmn Thn� 1 nm erufner;zetl Gy (i��, � wne� u� fh�� p�uperty iu penomr thc <br />ww�k lW w'hi�'h apPl;eafipn is mad„ nnd I cnnr[�h' wdh fhr Sl2fe Conliacicrs Law 18.27 RCW unJ <br />2Iti 2`7Q WAi: <br />� �,4.,a,�,�- � ,_ ZS `1 1 <br />�� oC�S� Cc� � ( <br />�--�Dai �/� <br />" ��5 �-1 <br />� ( � � ��� �� <br />� _-'`_'�- - - _ _._. <br />�__.__. �._.. . . _ _.__ __...._ _.. _ �-- <br />� ���I�' ���� <br />FEE <br />�'r��'�.���� <br />