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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 5��Q—O�J <br />425-257-8810 - FAX 425-257-8857 – www.everettwa.org ��..�b S.� a7 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />>>3� 7�-(1�� s-i s�v <br />PROJECT ADDRESS <br />� <br />Owner <br />r'�i.�J C� % �' i 6 . <br />Aiail Addross <br />Ten�ni <br />:���liC" � L �Cil�. � <br />[leclrical ContracWr <br />� ve +�e j"i� <br />��v <br />City <br />i <br />� � «�� � u� �, <br />£t;deQip ---- Phone <br />.�'lnl�'lp%�-/,;.�'C(� <br />A1a11 �ddress Ci�y S e/Lp Phone <br />i �� � � � p � <br />N w 1 r�� �� � L�.J `� �� (; �_�i�✓ 7� <br />h1�ll AJAross Cily Slale2ip Ph�,ro. <br />5����sf <-,,,� i,��� � � � ;'�;,/�/,� 1 <br />Stalo I_iconse Numbcr � � <br />Propo�,i�d Usi� ol Buddinq <br />l � <br />Dr,scnptlon o� Wod lo f3r� I�,�n" --�C� I Q1� � CLbLC <br />tJOiL' WIRING IN NOIJ-DW[LLWGS IS RE�UIRED TO <br />6E IN RACEWAI'S, MC OR AC CADLE <br />,1 r L�r <br />�n � � UO __ <br />Contrad Prico ol WorV. <br />Contact Pi�rson (�'lan Ri�viuw7 <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hmeby ccrti(�- fhnf I ha��i� �cad nnd c.mnined this applicnGon nnd I no�t� fho sarno (n be 6ui� und <br />cormcf All prorisions ol la�rs and oiclinancrs goremin�t fhls fyp� c�( rrvri+ �rill be cornplefed <br />�rhefh�� specihed heiem or nul The �ranfmp n! n prrnut does not iiusume fu gi��o t+ufhorrtp fo <br />rinlufo ur cnncol fbe `novisions ol nn�- ofhi�r sf.�te ar locnl la�s regulnfing construc(iun or fhe <br />performance o/ construcfion. Thof 1 ont authonzed Gy� fhe on�nor ol fhis property fo peAonn the <br />wo�h lor trhich applicntion is moJo nnd I cornply n�ith thc Stnte Cunt�ocfors Le�+- iB.27 RCIN enA <br />zsr, zoo waC. <br />�; ' / , � � <br />. _ <br />` � , c <br />, .� <br />� �- ,. c - ,� <br />, . <br />, <br />- _ -- -, -- - - — - --- <br />, .��,.,n��,. n,�,. <br />r; <br />ree — <br />7�� — <br />