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I PROJECT ADDRESS <br />��� 1.;t,�l.,�,� , �� <br />owner <br />I <br />ienan� <br />I <br />�' l <br />� nl,�.� ��� i�, <br />j[lectnwl Contractor <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET. EVERETT. VVA 98201 <br />425-257-8810 - FAX 425-257-8857 — www everettwa org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� 'i�- � .:�� <br />.�.�• <br />Mad AdNess <br />Mad AAd�ess <br />I,.�,r ��J I-�.�� �J� <br />M�d AdNess <br />I ' - + �' ' � � � . i. t <br />I Slate License Numbm <br />i . �.., l , , , �; l! . � <br />Proposed Use of Nuildmg <br />:l �r , ;"l�i <br />Ctly <br />Cdy <br />r��,+,, , <br />Cily <br />Sta1MLp <br />Slale/Lp <br />'�.✓n. �/4 ��', <br />si,ieiz�n <br />��_ � ,�r� ,�; <br />Conlracl Pnce ol Work <br />� : ��•.� t t-,�� J <br />Cont:ict Person �Plan Review) <br />Phrnie <br />Phone <br />n( .'?y ��, �l � <br />Phonc <br />�i Descnptwn of Worh to Be Done '�r��y�. � : "� � ', �.ti�._ - ! 1 �.� .. �. •� �� ���.�.1 r' � a S �l�-�'•��' l �� C' � � <br />NOTE WIRING IN NON-DWEILINGS IS RFOUIRCD TO <br />I B[ IN RA�JEWAYS MC OR AC CABLE . <br />. CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />� i Irr�r�h y rr�rhly fh,�t 1 hnvo re�rid and reammexY fh�s .'�p��lieaf�on anrl hnn�v fhn Snrne fo be hue and <br />� r� ��rcr1 4u provrsrons ul Imvs nnd onhnlmcrs ynvernmg fhis type ol �torF Wrll be complefed <br />' n�u�thr�r ,,��<�rrhed hurFlm o� no( ihc ��anhny nl n perrnd does nof �resurne !o tpvP authnnty fo <br />�a,0i;e or aincel Ihe (nnwsrnns ol nny �. hei sfnf� or locnl In�a iegu�ihny r.onslrucbon or Ihe <br />p���lorrnancn nl rorrstrurGon Tlutl I mm �vlliurri�d by !he owrter ol fh�s propwty tu peif�m� fhe <br />r. rnk lor uduch npp6cafion rs rnttde and I cnrnply wrlh flre Sln(c Currhncfnrs Lntv iB 27 RCW �nd <br />: 96 2U0 WAC <br />� I � <br />�ti„, � ) , , +; ,;, <br />'. 9gnaWr � Dnle <br />FEE <br />,�b 3 - ��j % <br />