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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM �� _ a b-�Z <br />�n '75 �� sfi S F — <br />PROJECT ADDRESS <br />Owner <br />TP.n0111 <br />k� <br />A1ail Addruss <br />Mad AAdress <br />Conlradof A1aii Address <br />City <br />City <br />Cily <br />Sla�e/Zip <br />State2ip <br />S�alc2ip <br />E,2-�, - � � j <br />(�I15 <br />�d'.,�o� 5 � i � <br />Phone <br />Phonc <br />��i <br />�S a�iz_14� <br />�hOne <br />�0 r - "oYyC,�1L ��,o . �� <br />late Licanse IJumber Conlract Prir.e ol WorY <br />(/1 - � r. , � <br />V�.Q��Lt�'.r,.i.-��— — ---- ---� ------- <br />Proposed Use ol Building Contai-t I�'rrsan (l'lan Rm-iaw) <br />r) - -4�1� I/ <br />DoscriplionolWmklol;��i'��m. .�yQl��,tct' .___��-ar�� ---��N._r'� _:_-.�--�_M_aKY��t�------- <br />0 <br />NOT[ W IRIIJG IN tJON-0W ELLI�!GS IS REQUIRED TO <br />[3E IW RACEWAYS. A4C OR AC CAE3LE. <br />CITY Of EVERETT LOCAL SALES TAX CODE IS 7105 <br />1 heiuby r<nUlv thnf I hnce reud a��d e��eimineA U�is appGcnhon and knmv fho seme fo be Vuo nnd <br />correrf rlll piorisions ol laws erd ordmanr.rs go��nnung this fype o! work will Go complefed <br />�shefhe� speciGcAl��rein or not The grnn6n0 oln pernuf Aoos not nnsumo lo give eufhordy fu <br />violafe e� cancel fhe I�ro��isions o! nny ofher sfnfe a local lan� regulnting construcfwn or fhe <br />podormm�ce o/ cnnsfiucfion (hat I arn t�ufhnrized b�� fhe owner o/ ihis pioperty fo perfomi fho <br />wo�k !or which npplica6on is rnadc nnd 1 cumply wifh fh� Sfafe Confractors Law iB.27 RCW anA <br />296.2001M1'AC. � �/� <br />-- -����� _ ' a i � <br />usirni�, u �, �)a�e O <br />; — , `'1 �_ <br />r-eE <br />- "�l � <br />, � �� � <br />