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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />d25-257-8810 - FAX 425-257-8857 - �w�v.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� l j ; 7 -`� '' -1 <br />PROJECT ADDRESS <br />S'- �8-D a <br />c=o3oS-�y3 <br />,,.� <br />�c�c i� -l� �� ���;/�( /�>'S �.i? _ –�,�, '�— — <br />OWI1Cf 1.1ai1 Addmss Cdy Stalo%Lp Phenr <br />A o Gc i �� ��-c f�r� .`'xi o-�e n, <i 6no'e <br />TC�elll �1;�i1 AAdi�ss Ciiy Slalo/Zip Phone <br />/� 3Cc -ya�-7oca <br />[�i..e. � �l-e P C�S'�cc �„C ��`. •�EO� lvL ���>�+��L. � 7�it'ocrvet- LC�f� .y��t�� <br />flrc�ncal Contraclor 1,1,u1 AdUress Gp State;Lp Phune <br />rti«r �; 9s� c �� <br />Stale License Nmaher <br />a�.s �s•.��� <br />Conlracl Pricc of Worh. <br />w / A ---��— — -- <br />Prupnticd Use ol Buddinq �--- — Conl:t�i Pcrtinn (�'I;tn R�,��ie�vl <br />DescriptionolWod.lu B��I,��im� __S�i�'C,�iLL_J_�t_;)(� ?L�c_�� f _c� r t / 1—.�O ,Qu-�l� ('f�i'cl � � <br />_ �� <br />NOTE WIRING IN NON-DN'[LLINGS IS REOUIRED TO <br />BE IN RAC[WAYS, h1C OR AC CADLE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />FEc <br />I hcrcby ce�L(p fh.J 1 havu reaAnnd �a�nrnmrd fhis applia�6on anA knon� fhe same fo be fruc and J. �; ��j�� ��� 1 l.l�� <br />conecf. All provis�uns o( �n�ta and ordur;uii.es �overniiiq fhis f}�pe ol iti�orl� �ti�dl be coniplefeA ( <br />wheU�a speci(ied herein ur nof Tl�o c�ran6�:7 �( �� pernut does nof pmsume fo r�ive authorit, to <br />violafe or cancel fhe provisinns ol ony ofhei sL�le oi localla�r regulntinc� constructron or fhe <br />perlurrnance al consln�ctian 71i,af I am aidhnri7��J bp fh� ��rnei o/ fhis property fo perform the <br />r;ork lor �vhich app6r.abon u' mddo and I rornpl} �rifh L'u� Slrrt�� Contracfors La�s 18.27 RCIV �nA <br />zs� zno �vnc. <br />� �i � <br />,��1,��> �--�/ L = 1 d' - �� <br />-- -f�-. --- _ _ — ------ <br />Si�nahu�, � Uale <br />