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ELECTRIuAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />,; <br />� <br />PROJ[CT ADDRESS <br />3200 CEDAR STREET. EVERETT, WA 98201 `�7 _ q <br />4��i-257-8810 - FAX 425-257-8857 - www everettwa org °� l <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 P�A � Q� �� `C }L <br />�.,,�����c��.� J � ����� C I�, <br />__ __ _ _ - _ _ _ <br />Ownr,r Mall llddress �.���. �Ld�� ; q�� <br />Tonnnl <br />A1all Address <br />Clly <br />� I ' 1 C. 't_il� <br />�� 11i 5���—�' l� <br />-{ 1�1LL�' t�--'� 6'1 � � l > 1 <br />❑cr.�nod Contraclor �1all AdJress Cily <br />I k. �- rti t�� `�,;�,aC � <br />SLtic I.irunsc Number <br />� i. � . �i i �- < < l l � ``1 -- <br />Proposed U. of Bull liny <br />l <br />:� Descriplion ol Worti lo Oe Uune • <br />� r �i <br />_ ,: � '!-- , 1__� ' (� 4 � I � <br />NOTG WIRING IN NON-DW[LLINGS IS R[OUIRED TO <br />(i[ RJ RAC[W�YS, MC OR AC CFl[3L[ <br />Slale2ip <br />� <br />Ph,nn. <br />Phnni <br />, —.i `I <br />� SIatM21�i Phons <br />'Y�`/-� �-��, <br />C �nlra�Pricr, ul WorM <br />Cnnlacl Pcrson (Plan Revia�t� <br />CITY OF EVERETT LOCAL S.4LE5 TA7( COUE IS J105 <br />I hrn�h� ��<vGl� Ihd( I.'i,n r nrud �uN r�ramun�J fh�s uppLr��fi��n ivnd Fnon fho serne Y� he h��r dnJ <br />� om�r( All piorivons ol lans t�nd o�duirinces i7��i-��ming Uiis lype� al �rori� Ki�l be carnplefeJ <br />whofhrr specified heiuu� oi nof. The pran6ng ol a perrruf dous nof vesurne fu glve nufhonf� F <br />nulad� or concol thc Ir��,visinr�s o! eny ofher stafr or locel la�e rec�u�rtirt,q conshuchen or thr <br />perforrn�nce o/ �:onslrucfion Thaf 1 nrn authonzed b} fhn owner el fhis property fo pe:(orni Ihr• <br />�snrh lor which epplicabnn is mndo end I cornply wilh fho Sfafe Confracfors I.ew 18 27 RC1V nnd <br />796 7U0 WAC. <br />_--- .,w��„b��,.._- <br />' iiaii.- <br />�.'�C' <br />� /, <br />/; r� <br />� <br />FEE <br />,/!•�[1C.,.� �.._ ��C ) <br />�� <br />1� <br />.�t <br />