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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257.8810 • FAX 495-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />' 1�S a�Fs Lj <br />eve; �}�+- S-�c�l =�I�7,� 1-1,1� Sr E�� 9�ao I <br />' <br />�ki1A <br />Owner Me" Addrow C*y Stala/Zp <br />phore <br />TCfAnI Mil!I Addmus C:!y S'u,e'11p <br />11� 1 <br />�b^Onp <br />/l <br />�CylieTp(ISe - �1 px l� mmu5t111(2 �i') {! Qg��O bS <br />'9yiS <br />Eioctntal Cornc!or Mall ACCrp,rs Cay 56dR21p <br />! <br />?'pro <br />Sta;e License Number Contmct Price of work <br />Proposed Use of Building Con!oct Person (Plan Review) <br />Square *Dotage (If res!donhel now cmrstnletion, remodel or addition) <br />Description of Work to(ie Uone: _J2 AL r+Yu�I l�(n}"te_e—�h , ^r r.i_-��� <br />J TJ �" <br />J <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />0 <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I here6Y . r* that I have read and exominud this upplrcaflon enrt know the same to he truo arrJ <br />corrrr .. All p�rppwsrons Of lawn <br />and ordinances govemmn this type of work w711 he completed / �l whuthOr specula bensm or nut. The grant/ng of a petmifBoos not presumo to gW outhonty to <br />violate or cancel thesiominsions of any other state or locol law mguLllingpcomr;ruction or the v ' <br />Kvrk forowhich opplicatlo �s mad t lam end I com y MHhi fho heContmownarcfMrctoru Law 10.2ortorm the <br />7 RC W and <br />200.20/O WAC. <br />J QDehllR Dale <br />_ <br />J <br />S05 <br />