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ELECTRICAL PERMIT APPLICA fION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET. E\�ERETT, WA 98201 I� a-� � O9 <br />425-257-8a � 0 - F4X 425-25i-Rb57 - �:�v,nt everell�va org � �� O� � � � � <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />, � � i �'� �`� �� V� �� - <br />PROJECT ADDRESS <br />. � �y <br />, u�1 u� :���,/ �,.I.SC�--�c <br />ownor �.i.ni qdn���,s �— � r. �i, <br />� <br />L1.��1 G.bh,..., "--______ <br />lli�;v� � ,�����c � hc--�-t-15__�.� J�= �nr <br />[IP,Cllk;j� ��JII;1�'.�rll i.1dd/�i1d�RF5 (�.d�. <br />�=ry ��c�' <br />S�ate License Numl�,•i <br />nf0�)OSO�1 US!! <br />s�;,te Lp � --�'�,eno <br />_�� til.�l. ; � Phnnr. I <br />�� � <br />�✓�._-�v1a�-�������,v�_ .��-�� <br />Sta✓��q� f'hnn� I <br />Conir�cl Pricc ol WorY <br />�:�•nt.irl P�is�ln IPl:tn Rnviuprl <br />) �Descrlplion o� Work to Or I�nnr ���_ _(. � u�� .���___����� <br />NOTL WIRING IN NON-D�VELLINGS IS RCUUIRED TO <br />D[ IN RAC[WAYS, �1C OR AC Cl�RL[ <br />CITY OF EVERE'fT LOCAL SALES TAX CODE IS 3105 <br />1 hor��by- rerhfp (haf 1 ha���� �a�;vd nnJ rrnrninpd fh�s npp6�.nhnn nnd kn�ni fhe 5nrne Ic Ge fn�e anC <br />ron[�r.f Al1 pnivisivns o! In�ss nnd orJinances �o��euwiy fhis t}pe o� u�nrk udl be cnmpleted <br />�shether specdied herein or nol Tlm grandn[� o! � pernul does nof �rosume fo grve autlrnnty N <br />violate or r.nncr,l the /nuvisinrts ol nnY ofhe� sfnte or lacel Inw repu�ihn9 canshuc(ion or the <br />perfonnence ol cons�rudion. lhaf I nrn aufhorized Gy fhe o�vi�er e! Ih�s property fo perlorm flre <br />work lor wh�ch npplir,efron is medn FlnA 1 r.ornply wifh fhc Sfate Confr�rfors Le�v 1 ii1 � RCIb' nnd <br />�'s�fi.2RQ 11�AC. <br />� --- --� <br />, �� � � � <br />< < c " �c��Q� <br />--y� - - -- <br />,)-:,i�,n,�uie� �_ . ��di�. <br />FEE <br />��'�u� "1�;� <br />