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ELECTRICAL PERMIT API�LI�ATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.evereltwa.org <br />��,, ��(r1��� <br />PROJECT ADDRESS <br />-- � �� —� -- <br />Ownci <br />Tonanl - - --- <br />1� � �. �� i � , ��, Y�. <br />❑ec`ir.nl Contractor <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� ,_ , <br />,' � ; � _i � _ � ; +_, ,_., �, ��_� �. <br />�,t,�i nad��s� c�p <br />-- -� n�.,�i n�ia��:•.� _ oi, <br />�= �. � ��,, � �,, _�_ �� _ <br />Atail Add�ess C�ty <br />'���� l -� �- ��� ` � i f � , �-� 1, � t <br />L <br />Slato Ucnnse Numbcr <br />Proposud Use u113uilding <br />� � -. a <br />1.,�„S ��', '� —���. <br />—�titatc/Z�p ---- Phonc <br />Slale7ip I'hnnn <br />u �� �,;, �� I l� I <br />Slnto2ip Phone <br />Contract Prir,e ol WorV. <br />Cuntact Pcrson (Plan Ri;vicw� <br />Y� �' �-� <br />DescriplionnlWorAto�eDono: �L.7v._:��(\. L�.�y.�1���1���.� �---=-ti.Al � ��`� -- <br />. <br />� �'�Jl_! Clv�-'� Gv��Y��t' C.� `.x_V � �LL <br />,� �,.�� <br />- ---- - —�---- `— U• - <br />NOl [: WIRING IN IJON-DWELLINGS IS R[OUIR6D TO <br />131=. IN RACEWAYS, MC OR AC C�DLE. <br />CITY Of EVERETT LOCAL SALES TAl( CODE IS 3105 <br />1 hrvob� r�vhh� fhaf 1 h�n�+reuJ and c��tnnnrd flus apph�.�Gon.�nd I�no�s fhe same fo hu 6uo nnd <br />��onr�f All provisions ol la�ss m�A ordumnces y�n'i�rnm� fhis h�pN ol nvrk wid be compl��frA <br />nhofhrr r:pecihr+J harein or nnl. The �rairtin� cl a penruf Jnes no(�uesurno fo gire aidhonfy fu <br />cndt+fi� oi r,incrl fh[� tnovisiuns o( nny ofher sfr�fa e� lucnl l���v ie[�u nlinp mnsf�ur,lion or Iho <br />perinnnanc�� �d conslruction. Thnf I nrn nufhoiized 6p Ihe o�rnor ol fhis p�opo�ty fo perfonn fhn <br />�sor6 l�u nhr.li nppli�ahon is mndc nnd 1 cornply �rifh fhe Sfate Conhn�fors Lnw 7� "17 RClS' r+nA <br />29G 2J0 11'AC. <br />�. "����� "_i � t� I � , <br />--� _ <✓���i ��� - �� -- - - - -- <br />.,�.io.,tuie , _ i7aie � <br />FEE l <br />I <br />-- -J <br />��� - Ql(� <br />