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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 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />7 1 <br />� c� (. �i 7 � fJ C-r. j'l.._� <br />PROJECT AODRESS <br />V.l��L�i�.� ��O(1 �II't� �T L�.UlFill (/VI'l /d�r� �/Cj"2�'1'�I�J <br />Owner Mail Address City State2p Phone <br />�II "�'-i 2���J i5'c,, .�I� �I. EUOeG1T Wf� %�1"'� '/ij . 2hi-611� <br />Tenant Mad Address City Slale/Lp Phone <br />�� c�uei�y�;;l,�'; i�-.-.1��7SIi.Z7 �.'-j,ui��� i..��, �`s375 �S3 Z,k�/-11,7 <br />[lettncal Con�ractor Mail Atldiess City State�Zip Phone <br />�;��,/;cL�r,s %,K, � � <br />Slale License Number <br />� Ci((i�F ;�Ji.l'fN��.0 <br />�', Proposed Use ol Owlding <br />flescnphon o1 Work �o [ie Done i^�'7fd � N c W r I PC �1� F��l�l .�,1{ S'L�l�' <br />1� �y, Z y J"� <br />Contrect Pnce of Work <br />/��iKf /1N.r�Nl.N ��S GP�c ��6�� <br />ConWc� Person (Plan Review) <br />NOTE WIRING IN NON-DW[LLINGS IS REOUIRED TO FEE <br />�[ IN RACF6VAY5. MC OR AC CAdLE . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hr�oby rr.rtdy pref I huvo i�nd and r��arninnd fhis apPlir,ofion and kno�slbe s�arne fo bo f�ue and � I�C� � �)'�O <br />� nner,f All provisinns oll,�ws ond ordmnnces govornrng (his type o! u�ork ndl be complo(ed <br />u�hc(her sprzci6ed hnr�in o� nof Thn granf�ng o! a perrnR Aocs nof p�esmne lo grve authonty fo <br />��olate nr cancol lhe provisions ol any ofhor sta(o or local law regula(ing construchun or !he <br />���vfnrrnance ol �:onsfrucLon Thaf 1 am au(hon:oAby !ha ownei o! tLis property to perform (he <br />unrp lor wh�ch appbca(rai is mado and I cornply wdh fho Sfafe Contreclors Law 78 27 RCW anA <br />: 9f 2001M1'AC <br />��; ;�r,�.r_ .�, .� ,� <br />