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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 io -� a- �'J <br />425-257-8810 - FAX 425-257-8857 - www.everettw2.org E ogo 6-0 9 7 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />i,�.�, �. � � <br />� i. �. r , r <br />PROJECT ADDRESS <br />.`�. c. �� ir; l�� c <br />Owner ' <br />Tonanl <br />( ( � � �� <br />Fleclricol ConlraGor <br />Slato I ir,ansc Numher <br />P�opoticii Usc ul liuilduiy <br /><i , < ti' �:'�•, <br />/ ' / �' � <br />A1ad �ddress <br />M;iil �Udress <br />hlail Addrr.ss <br />r ) � / , � <br />>._ , <br />cn> <br />Clty <br />F�,c-c/f Lt,/,��� <br />Slale�Lp <br />til;ilo/Tip <br />Slak/Zqr <br />Cunlrnr.t Price ol WcrV. <br />(_y �' �s i � - ; <br />�l �('O1 / <br />Phone <br />Cunlocl i'urson (Plan Reviaw� <br />Phonc <br />Phone <br />� ����� �� � � <br />pn�;cripUun NVJork In Oc Dono: ��. ia t+ C C�t n �i �a� � ��� �._ � k_y�.-�_c..�\"__�._i.'�-'� <br />NOTL' WIRING IN NOIJ-DWELlINGS IS REQUIRED TO <br />EiE IN RACEWAI'S. MC OR AC CADLE. <br />CITY Of EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hrrrty raiily thnf 1 h��� r i�,�id nnd [�ar�minod fhis applir,r�Uon und kno�r thn sarne In bn 6ue rand <br />convrf �111 pruvisiuns o! l.a�s nnd oidinancrs pov��miny fhis lype of a�ork n�ill bo complofed <br />rrhothrr spraliod herein or noL Thi� prant�n�7 u/ a pentuf doos no( irosuntn fo gice aufhonly lo <br />� rnlafr o� ��;inccl the In��visions ol �n}- ufhcr sl�lu o� locnl Inw mgulefing consfrucfior or fhc <br />pei/�+rrnance p/ consln�cliun. Tht�t 1 mri oufhonnAG}� fhe o�., �oi ol this propc+rty fo peilonn tire <br />nvi6 f�r nhir,h npplicn6un is made and I co�noly wifh Ihe Sfnte Contrncfars Law 18 27 RCLY and <br />7gt� 20�� 11'�1C. <br />� i.�' � / <br />. �' ' ci <br />___' <br />� (' , . . � / <br />.—_________. . <br />.____'—'— _ — _..____—'_—' <br />,Ir.1n,iLn�� Ilale --__"_- <br />rfEE 1 I <br />Y <br />