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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVER[TT. WA 98201 �� �—Oy' <br />425-257-8810 - FAX 425-257-8857 — www everettwa org <br />C— c�9o9-�/ <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />, � ,<j , 1 <br />i ' � �. � � 1��(����.� ���v� <br />PROJECT ADDRESS <br />�,����. <br />Owner <br />I uL: <br />M,�i ndd�Pss a�r <br />renant MxilAddress <br />�l.;nc, I<�i{�C i�Y% � �; ��'i�' - <br />FledrlGB Conirecto� Me�lAAdress <br />� T ��f.-T `�`) �C �� <br />Slale License Number <br />, yl� � —��G l �. <br />I'�npose0 U e ol Budding � <br />f lescnption nf Work lo Be Oo�ie <br />r'���1r' :��;�� I <br />,� ���.`) `�(�k� <br />NOTE WIRING IN NON�DWELLINGS �; RE�UIRED TO <br />BE IN RAf,EWAYS. MC OR AC CABLE <br />Gry <br />Clty <br />G <br />StateZp <br />Stale2lp <br />Contreci Price o1 Work <br />Phone <br />rno� <br />��,� S <br />s��l �o <br />Phone <br />Contacl Person �Plan Reviewl <br />CITV OF EVERETT LOCAI SALES TAX CODE IS J106 <br />i hc�eby ce�hly flral I hnve �ead enu eramined lh�s a�p6caUon and Nnnw llre sama lo Ae hue and <br />, r��rear.( All proms�ons ol laws nnd nrArnnnais govemmg Ihis type ol wfvM wdl be cumplefed <br />Nhefhei sper,rlred hert�ur a nnf Thx 4�nnhn� ol a permrt Aoes nnf prxsurne fe grvn niAhority fo <br />r�nl,�fe oi cnnCel lhe Fnov�9ons o�any other sfale or l�xal laW rnqulAfinq mnStm�Gon oi fhe <br />��e�fomixnce o( consl�uchon Thaf 1 arn eufbanzeAby fbe ownni o! this prnperiy fo peAorm fhe <br />��nr6 /or whrch applica(ron is mode end I comply with fhe Sfefe Confrac!ois Laa� 18 27 RCW end <br />: 45 2G0 WAC <br />� i ,---�-� �_�- <br />,. - � <br />G <br />FEE I <br />-- J <br />