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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREr-T, EVERETT, WA 98201 <br />d'/_5-257-8810 - FAX 42�-257-bE�57 - n���nv everelhv� org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />r� -�.: �lZ �'� S�- S�ti� <br />PROJECT ADDRESS <br />— <br />(��,��e w� (�u (�� �L � ,�C� 1/z���r S u� L-�-� rer _ f�f9 ''�� <br />owiv,r r.,.��i;..bi�,.., , �i. :.i,�i�.;�,,. � i,>,,,.. <br />� . _ . ---- _. . . ... . _ � -- —.. _. ._ _. _.. <br />li�n;u�� r.t ��.:. i,t��.. , , .i. '�-t �i.-� �i I�n�,�,- <br />� " i <br />�12-�cNNcl�c�rs �I�c��,Pi� /�''3�1�1 ����i�,�r,rfc.qy �oc��<<o��i l� �c� ���1 8(y7/7� <br />------ ---- — - <br />_- ---- _ <br />[IICIrICJI l;Ult�l.11l�❑ ld.i � i��idn.... �.iL hl tl. .' I I h�:r�. <br />�Al�x�a�� 96�l�9 <br />Sla�r I i�.��n•,�, Nunih�,i <br />Pfnpuvi•d Usu nl �'wl�6n�� <br />/�Si�E I�c���' ��.f <br />Dosi,nption nl Work lu Br I��.ni• _ / l� /.f <br />-- V -- <br />NOT[' WIRIIJG RJ NGN�DW[LLINGS IS REQUIR[D TO <br />�[ IIJ R�C[WAYS. �1C OR AC CA[3L[ <br />Conlract Price ol Work <br />Conl:ic�l"orton IPI.inR��vionl ----- <br />/I� DC -f f�i%�7n��Q6/e' <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />I hn��•h� � ��rtd�� fhaf 1 huri� n�:id nnd t�xamim�d fh�s npplicohon und kn�nr the snrne fo bo huo anJ <br />�nnrrrl� All pr<�visn.�n5 ��l lm5s nnd ordmnn�.-i�s goiarnimj Ifus f}�pr a! ��nrk �vdl he ccmplefc�A <br />n�h[�f/mr sp��eilir>d hrrrin or noL The granhnp o! e perni�f do�s rn�f pn�sume fo giva aufhonq� N <br />��irdafn rn rnnr rl fhn pmrisions ol nnV o(hrr sfafr� a locnl lt+w rnpulafiny consVuc6on or thc� <br />p�rloimence ol i�nr5nur hnn Ihnl I am nufhurimd hy� Ihe ownor o! fhis property to perfom� fhe <br />nnrl� !ar �rhich ay/�h��ah�rn is rnnJr nnd 1<�onrpty H�rfh Iho SfAfe Confrncfors Lew 18 27 RCW and <br />;�nri7U011A�-�- I . <br />� <br />- --T;i�. ----- --- <br />FF.E <br />1� L `I _ ( I �/ <br />�� � <br />l% <br />