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� <br /> ELECTRICAL PERMIT APPLIG°ATION <br /> CITY OF EVERETT PERMIT 5ERVICES <br /> 3200 CEf)AR STRFET, EVERE�, WA 9E201 <br /> 425-:",7-8310 - FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FR0�18 AM TO 4 PM •DEBIT 8 CREDIT CARDS ARE NOT ACCEPTEO <br /> , � .. i� i <br /> ��Z ��., . �.:.��,��� R » -�� `.� I <br /> PROJECT ADDRESS <br /> L�SA <br /> 4LS-3ily <br /> �;� a.�Ta�� se� ,..�s ReAc--r.�.�tr:5 '7v-� w. C.�_�o�, zoss <br /> Ovmer r,tA�i�da�eee eiry stntrizip rnm,R <br /> Tonent M,il Addrev Cit� S�iiNZJp Pnonn <br /> I <br /> �1 <br /> �C_hn.,ca,S� C^� ecrc.c. �e 3ow � '7{� Sno�.ar�� � N�S-3�s-l7sk <br /> Eiectric�iConVactor ti�au,waross :7iry Stataap �non� <br /> S�l6hocS �lo C'�.,' <br /> Suto ucense Numbor Contract Fdce ol WoA. <br /> Pmposcd Uto of BwlAing ConWct Po,on (Plan Revmwl <br /> Dnscnplion of WOh to Bc Done: C �^'���_�.t[!�_� t Q��C` J_�i� L,C_p —� �O <br /> }e �Lo_•n:�l.ar�. eo " d1�xToc� Feeal �.n�____je.� �v_ wttTec_ O-t _ <br /> C� �� �� �✓ �� <br /> _ � � �� .n.n4 _ _'_. -' <br /> � <br /> PIOTC: W{RING IN NON-DWELUNGS IS REQUIRFD TO FEE <br /> DE IN RAGEVdAYS, MC OR AC CADLE. <br /> !�S, �u <br /> C�1Y Of EVERETT LOCAL SALES TAX COOE 19 3105 <br /> !hymGv cnrt./y thnf 1 hnve rea0 and nxamrnnd th�s aanlicnUcn entl know I�e same fo be(nre enC <br /> coneci. All prov�s�ons ot iaN�s and e�d�ndnces yovemm�tnrs rypo ol w�o�1r wdl be completed � <br /> w�otl�or Spoc�Gad hrrcln or neL !he gronLng ol a pe�+�+d Oons net re3ume fo grvo au(hodty to i <br /> wolafc or cancel fho provlslCn;o!eny ct�cr sfale or Iccal lew reguP(Ing[ons Wcfion cr fhe <br /> porrr���ppprmanco ol conSlruCLen. Thef I em oe1hontrC Cy t�o Gwne�o(thi;properry to poAam the <br /> w�for wqlcn applicat�on�a made antl I cump/y wr(h tne Stafe Con(ractors Lew 1B 2%RC W and <br /> Z ti.�00 'rVAC. <br /> � ; �_�----� �`•� r �--- <br /> � 1 / � <br /> � ,�`��- � o-���b �� �• ` l4 <br /> � �Syrabrc ,�---�- Oatc � ;1 I <br /> , / )'II . . <br /> � I <br /> . . .�- -- - .. .-'-_-_ _.�,�.�- _ _L5�P55U4: Ei��5' SPC�_. _� , . <br />