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ELECTRI�AL PERIVIIT APPL{CATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAP, STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257- �857 -- www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />.�c� a � - 9.��r..�! _� ;- s <<,. <br />PROJECT ADDRESS <br />V»�=..� c- �2�rff� /v� �2� ��c✓ �d� �r� � �����dO� yds 3/5.es <br />Owner R1atl Adtlress Cily Slate/Zip Phone <br />Tonanl <br />Maii AdU�ess <br />C��t��� �� �-- — <br />Llacldr.ol Cnnir�clnr hlon .,ddiuss <br />Slalo Li�:ense Numbcr <br />Propusud Uso ul Buifdinn <br />City <br />Cily <br />Slate/Zi�, <br />SIa�e21p <br />Conlract Price of Work <br />Conlacl Person (Plan Rav'ow) <br />f+r.sr.riplwn ol Work lo Be Dono: 111I S� �UGA �,�l�� -- /T /S �iJ��Asw i 1y <br />_�Q -..; � <br />NOTE WIR�NG IN NON-DWELLINGS IS REQUIRED TO <br />D[ IN RACf Wl�YS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hrrrb� rrrGl� fhrd I h;�vo ruuJ nnd ����runinrA fhis ;�pp6� ;ifn�n and 6n��N (he snnrb fn be Iruo ard <br />���ni�cf� All ��i�n�nn�ns ollaws and urdm;�nc��s y��vrrnmq Ilus typr� ol n.nk wdl be cnmplrled <br />�+-hefher .cperdrrd hrirui or nof 1 hr .�idnfmg ol n p��rniR d����s mit nrsume to pive nidhoiify t.� <br />va�la(e� o� i�;inrr! Ihr n� rvisrons �d ,�ny ofher sLrte o� loca, law rp�u�edn�� consfn�cGon or fha <br />perlornuvnce ul cuns�ruchon lhef I r�rr nufhon�od b�� Iho owne� ol tlus property to peAonn Ihe <br />worl� lor wluch npphcafion is m,�d�� :�n,l 1 c ��mply H�rth the S(efe Conbaclors Le�r 18 77 RCW Hnd <br />29G 2ti0 WAC. <br />�%S . _% �—�� <br />r�EE <br />� <br />� <br />� � <br />- �; i- - <br />Phona <br />rhonc <br />