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ELECTRICAL PERMIT APPLICATION <br />CITI�' OF EVERETT PERMIT �ERVICES <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 />i ��_��' �`: � �,l �L�.,� <br />PROJECT ADDRESS <br />�u 1��. �ti a�,VF'�I����.,'� 5 [-Lc_ <br />Ownof hlail Addross Cily Slale/lip Phona <br />Vt t�' I Z GN /Z?c� �S `�1 5cJ ,E ✓f'Y F�I �,,'lA _ <br />Tonanl Mall Addros� City Slale/Zip Phono <br />'�f 5.ln.; r���� �7� .��/ci� �g�,[,U��l [,�y� .C�a�l�t«-�cJ (JA qi�Ci�[ IcG 7r> 2'i��l <br />Glec�rlC:il Conlrac�or Mall Address Clly Slalo2ip Phono <br />_�,Y'; ��! � ���i(� j(�/� _ � � <br />Slato Lirnnso Numbcr 1%— � <br />,v <br />i i�mniri < ��i[� L��I�Sr ��% l�lc ��r!!i t _ <br />Proposud Uso ol �uildin� � <br />�i2y n°`' <br />Conlrncl Prico ol Work <br />Contacl Person (Plan Review) <br />, , / <br />Oescriplion ol Work to Do Dono: i� n/� /iICLG �A� jY� � it.'i�/[ i i C �/nr.✓� J �t '��['/u 1 c c-!] W, <br />�r � <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />4[ IN RACEWAYS, MC OR AC CADLE. <br />CITY OF [VERETT LOCAL SALES TAX CODE IS 3105 <br />I I�rn �hy rr, bly fhnf 1 ha��r rend anJ ex.�rninod fhis npplic;ntion .�nd F.ne�r tho smne to bo tiuo nnA <br />conrrt All pr�n�isions olla�vs nnd urtlin�nces povenunc� tlus t}�po ol �sork �ti'ill bn complofed <br />n�hathia spacdied hmoin or noL The �7�anfinr� ol a panuf does nof nuswno to ylvo aufhority fo <br />wo/ufe or cnncel fho Inovisions o( nn�� ufher sfafo or local Inw regulnling consfrucfiun or fhe <br />pw`nrnronce oI cnnsllllC(IOIL Tlliil I(7f11 Fill(IIOIIIE(I �y fllta 04511C/ O( fI115 nN�J9lf}' f0 (101iJ1711 UIO <br />wo�k lor which epplicnfion Is mndo and 1 cornply wifb (ho Stoto Con6ec(ors Lew 10.27 RCW and <br />79fi. ZJO WAC. <br />, / <br />f �, �,. t� 't` — ��� P in <br />- '�" - ---- — -- <br />.. f.idA�,rl �� )lIP <br />FEE <br />�C.1 <br />