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ELECTRICAL PERMIT APPLICAT'ION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 (�, _a �{ --D°I <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org C vQ0 (� �/b <br />APPLICATIONS ARE ACCEPTED FROM tl AM TO 4 PM <br />_ � / ) (, ` � <br />PROJECT ADDRESS <br />�' +• ".l �� <br />— �— ---`- _ _ _ _— % �'f- -`— -- • - � _ � � --'='— ---- -- -- - - <br />O�•:ncr I.Lidn�fdrusr. Citq bia���.'_q; Phcne <br />1 en;in' <br />�ll1 r• <br />Conlraclui <br />I,t.W ;,,�a���.�. Cq� titalu'7ip <br />F.iail Address <br />��• 7 <br />Cily <br />r ' �5�� 1 } <br />Slale2ip <br />I'henr <br />���• �/ %�� <br />Phonc <br />���'Y// / /i��s!u� --- <br />Slalo Lir,onsc Numbcr Conlrad Pric� ol Wor4. <br />�1�.�, G �./C-( !C /�r�� __ <br />Piopv'.rd Ilao ul PudJu��i COn�eC� Pot50n (Plan Reciuwl <br />DaSrrq��n�n���l:'„i�l�����,�i��in. _� r' r�-/i:i9t5I.,� , <br />NOTL� N'IRING W NON-DWELLINGS IS REOUIRED TO <br />DE IN RAC[WAl'S. 61C OR AC Cl1[3LE <br />CITY OF C-VER[TT LOCAL SALES TAl( CODE IS 3105 <br />I hivobY ccrtily� Ih:+( � h;n r rcad anJ csemincd fhis apph� �rtirn i�nd hrw�t� the sanii� fo br. trur �ind <br />corrrc( All piovisions ul la�rs nnd c�Jmm�c�s no� eming fhis fppr o( �rork trdl bo cOmpletcd <br />n�hefhrr specdiod hercin oi nef. The g�nnGng i�( n perrwt does nof nosunio fo gi��e aulhont�� f�� <br />viola(i• or r.incrl fhe (�rovisions o! any otlier sfnfe or lurnl In�s regu�afing censfiucfion or fhe <br />peAonnanc� o/ consliur.fian. Ihaf I am nuflranzed 6�� fhe a�5ner of Ihis property fo perlenn fhe <br />�tnrk /nr nfur:h .�pplir.nfion is rnride anA I co;nply n�ifh fhe Sfnto Confrncfors La�r 1 A.27 RCl1� and <br />7yG 200 N'AC. <br />FEE <br />— � <br />�. �� <br />� i � <br />� , . <br />_c :. - ---- ._ . , - _---�— --- ----- . . <br />i , � ... I�.it,: <br />