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� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �� .. a! -o q <br />425-257-8810 - FAX425-257-8857—www.everettwa.org � 09�o_�i3 <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />`7C%/i� ��l���% <br />PROJECTADDRESS <br />Owncr <br />lenanl <br />Mntl AUOress <br />`�/ /%( <br />Mml �d��cs, <br />Iddd /41f1105s <br />, _-,�. � <br />h;ik�.s.Us C� �s c�� <br />Stale L�censn Number <br />Gry <br />1 <br />, `i l <br />C�ry <br />� � <br />f.ity <br />SlolelLp <br />smierz�� <br />Pnone <br />Phone <br />�j'�/ 7"�/✓� L� A � <br />Slale/Lp Phone <br />��s��7s�,�,�� <br />Contraq Pnr.e ol Work <br />lhoposed Use ol8udd�nc� Contad Person (Plan Rev�ew) <br />� <br />NOTE NARING IN NON•DWELLINGS IS REOUIREO TO <br />BE IN RACC-WAYS. MC OR AC CABL[ <br />CITV OF EVERETT LOCAL SALES TA%CODE IB ]105 <br />� fnaoby c»rtJy flief I bnm muAnnd u� nrrmmd Bus nppbr.nGun nnd Mnow fbo snrnn lo br! hue .in�t <br />-,.rr�cf All pmVis�aII4 ullmvY nnd rnd�rmnr,as qom�mrrq fhin typv nl ���aM will bn cGnrplr!fcrl <br />,�. nn�lv�r t{ir�cibnd hornin o� nol Ihn yrnnhnp �i! n pnnruf drms nul vnsumo fo prva nulhnnty fn <br />��"�:tlo a cnncr,l tlro pmh�ronv o( ony nfhnr :,tnfn nr IrrN �n�v roqu�iGnr� r:nnafnrebrri or Ihe <br />�:�,rlrernmrco ol catal�uclrql Tfref 1 nrn nulbrv�rorl by fhn rnvnnr o/ fh�s property �n p�vinmr ih�� <br />,; ��rk lM wh�ch npp n iHltlOAa ond 1 crHnJ+ly nvfh fho Slitla Conhur,lws l mr /y : I NCy}�;�nd <br />, ��o �(7WAC �. <br />1 <br />'� -���.. -�� - - <br />FEE <br />�� �'� lli'- ii j <br />