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ELECTRICAL PERMIT APPLI�ATION <br />CITY OF EVERETT PERMIT SERVICES <br />s':OU Cf-flr",R STREET, FV[RETT, \NA 99201 <br />.?25-: 57-g81U - f AX J25-257-8457 - �w�w everetiwa org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />7 � <br />__ �.�G- i��`� ti�� `��J <br />PFOJECT ADDRESS ; � <br />. ���(-, A'�)�r�.c�(.L..� � �-' <br />; .�,�,c_�. �� .� _� .', �-� r..J C=--- - - — ��� � �t�� <br />ownei - �.t�d r,��d�,..._ �,i, <br />ien:�nt <br />L' nl ..;�b� �. <br />`����n(1�1r,� lv�.. /j�ISJJ�� �� <br />❑erlrioa.�onlraclor Mail Addiess <br />' _ !.-z,v a- `1 S� <br />��, �. � <br />Sta�e I.ir.rmse Nurnber <br />(�'cip� �.� ��I I i<„ ol NutlJ�mJ <br />la <br />4,� , �, �� � � � � <br />� <br />C�� _ __ /, �'_—I <br />niab.7q r�hon.. <br />Si tl�.. ; q, � �'�.� ��� I'horn.r <br />��IF; c� 9€��� �1,35 50$" �=+� <br />SIa1�JZlp Phone <br />�� �c <br />7 <br />�onliad Price ol lVorV <br />Conlact Pmson (Plan Revie�sl <br />/ �_ � <br />�Ji•��ilq�lo-q���I1V��i11���;..�..,i,,. I � �_ � ,�—������ <br />NUTE: WIRING RJ NON-DW[LLINGS IS REQUIRED TO <br />EiE IN RACEWAYS. MC OR AC CADLE <br />CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />! hereh� cortily fhef I Ire� n read nnd exFunined fhis npplirr�fi�,n nnd Ano�s fho senic fc� ho 6uo a�ni <br />r.orrer( All rynvisio��s olls�rs errd ortluiancrs norerrnny (lus type ol �rorh will be cnrr�plef��J <br />whefh��� spoc�liod herein oi nof The S�anfnrg o! n penm� dars nof nnsurna to gi��e aidhorrt� t� <br />violofo or cencd the !vovisiuns ol Any ofhe�r stole ar lor.al Inw rpgulofing wnstn�cfion ar fhr <br />pe�lnrrnenco o/ a•nstruclion iriat 1 or•i eufhonred b�� fhe onnor ol lhis pruPerty fo porlern� th�� <br />worF 4n �r�hich npplicnlion is mride end I comply wi(h (he Sfnfe Canfrocfors Lew 1B." RCI7� aaJ <br />79G 2Jq IM1AC. <br />7 l <br />I i ' � ' <br />' ... '" ' � _..' ' J _ <br />;__ ; _C-_--��-�--- - <br />, � n,,�� <br />fEE <br />�__ � � �� J I �� a.� <br />