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E:��EGTRIC�►L PERMIT APPLICATION <br />CITY OF EVER�TT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO.i PM <br />���`� �ZOib%��• SE��Oar-a� '�l�%ag <br />PROJECT ADDRESS <br />g�^je �'^��-a.s---?,11��zo�k1°l. SE E_�e.e-t'r wR 981o�_f2s3s7-Sy•1 <br />OWnef 1.1ad q�ldiess —_— City Slntc'Zip Phone <br />Tcntinl <br />-- � W nIr <br />Eluclricnl Contriclor <br />Sl;tlr. Liccnse Ndinbci <br />S �� <br />Propnsed Usr, ol Liuilding <br />Mail Address <br />I.1,id ��Idn .�.__ <br />Cily <br />c;dy. <br />Stale�Zip <br />StelcZp <br />Conlrec� Price oi Work <br />Conlact Pcrson (Plan Ruvicw) <br />Desi�riptionof'Norkto�eDona: _�q�, (a�.�e.. e la( 12f�n.,.a_I w/�1ew /LSA ,�p-.,a.L <br />NOiE WIRING IN NON-DW[LLINGS I5 R[QUIRED TO <br />E3L W R.4C[1NAYS, A1C OR AC CAF3LE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I h�vrh� � ��rLl� fh,rt I h,nr r��;nl r�nd ra�nunoJ lhis;ipphcahon und l�ni�w fhe sanir fo be bue nnA <br />� rnrr( .11I��r�,�,�;i,�ns �,l l.iit-� anJ orJin.�nrns ��ncorn�ng fhis f}�pe ol ia��rh �vill he i ompletrd <br />�rhi�lhrr sprrih��d ho�om �,� nof Th�� y�anhng �il n pi�nnrt do��s n��f �resurn<° fo �n��� liufhonty lo <br />ciolafo or cancal fha �uovi�sions o/any ofho� sfafo ur locallo�t� rrgu��Gng construcG��n nr Ifre <br />perlorrneneo ol cons6ucfion Thnf I arn nufhorimd b}� fho a�vnor al fhis property to prrirnm fhc <br />wo�q /oi �rluch applic,�hon is madc and I cornpty wdh thn Stafr Confracfors Lew iN 27 RCW nnd <br />29ti100 WAr. <br />�('� ti <br />"__ �+L_`.—'—.��—_�i0-O ii+ /��� <br />� tiign.tlurr t� Ua c <br />Phonc <br />Phonc <br />FEE � <br />C--�'��I� 1���� <br />