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ELECTRICAL PERMIT APPLICATION <br />C17Y OF EVERETT PERMIT SERVICES <br />3200 C[DAR STREET, EVERETT, WA 98201 <br />425-257•8410 - FAX 425•257-8857 — w�vw.everettwa.org <br />APPLICATIONS ARE ACCEPTEU FROM 8 AM TO 4 PM <br />4.� ti° � t��i; '��l :(( ��" V �_�'( C' � I <br />PROJECT ADDRESS <br />� �� �� ' ..r-_' =��'- _ '– ]-_ �� � � '� �, -� �' �: —1 v c� r r�.I �-�41? `�.5:. �(' C�1.�,�1�;�.'v,S . <br />Owner _ �-- - 1 ni � Jdruss Cd, titale2lp Phonc <br />Ten:�n� .___ __ �. f.l.ull.ddn..�� <br />( _'/il�l.�� � ___ — <br />Flactrical Cunirac�ur h1.nl AJdmss <br />Slale Lir.nnse Num6er <br />Proposed Usc ol �uildiny <br />l;ily <br />Sl:i�e'7iP <br />SlalelZlp <br />Contrac� Prico ol WorY. <br />Con�ac� Person (Plan Revicw� <br />Phonc <br />Phon� <br />Uescriplion of Wor4, lo Oa Dunu: L-- �C�—� r�I CC( l -�" '�f� Cl �( 7 I L�L % ___ _ <br />NOT[. WIRING I�J NON-DW[LLINGS IS REQUIRED TO <br />RE IN RACFW�YS, MC OR AC CA�L[. <br />CITY OF EV[RETT LOCAL SALES TAX CODE IS 3105 <br />1 hereh�� coriil�� fhaf 1 ha�-e ruad nnd exnminod Il�is iipplicu6nn nnd hno�r fhe sarrw ti� bc fruc� nnA <br />rormr( AIlprovisfons ollaws mid arslinances i)ovenung fhis f}p�� nl wo�6 nill bo cwnpfefed <br />nhefhrr specilicd herein o� no1. Th� pranrinp o! n p�rnut does nofl��eswno to gi�r nufhonty fo <br />nolufr vi cancel the �rovisions o! nny ofhe� stafe oi local lo�r repu a6ng consfrucfion or !he <br />pe�forni,�nee ol cons�rucfion. Thaf 1 nrn nuthonzed bp the owner o/ fhis propertY fo p[vfonn (ho <br />n�ork lor �rhich �pplicnfion is mnde and I cornplp �rith Ihe Sfnte ConUnctors Law 18.27 RCW anA <br />79G 200 tM1'AC. <br />/ /��1�(..�.1L-� -�i�t/y�GC-, _ <br />I,.n nn � -- -.._ __ .. .._ 7 <br />FEE <br />� C�"f�Ff c t Z <br />