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t <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY AF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �7 <br /> y -�°—� <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org L.�p$D y �!7 p <br /> APPUCATIONS ARE ACCEPTED FRQM 8 AM TO 4 PM <br /> �'�� ��.'�i ��l� SUi�- /a l <br /> PROJECT ADDRESS <br /> �� S�r��' ��� «s y � �� /�v <br /> _ <br /> OWner A7ail Address City Slate/Zip Phone <br /> �l��L /4C�7� <br /> Tenant MailAddmss City Slate2ip Ptwne <br /> Eleclricat Conlraclur hlail Address City State2ip Phone <br /> ,0��_ <br /> J/,.Pr��(���'�� -� •lE'Iv <br /> $late License N mber Conlr -1 P�ice ot Vlork <br /> ��Cr <br /> Proposed lTsc'of�uildin� CoNacl Person (Plan Review) <br /> Descriplion of Work to Oe Done: � /ru ` �`Y��l ��'.���� ` � / /� — / � ��S <br /> l��v�e � C%��,� � 9,�.�s �,� �,� s <br /> �'� a�o� - o�v <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RAC[WAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereUy certily Ihaf 1 have maA nnd examined fhis applicafion and know fhe same(o bcr We and <br /> correct A!I provrsions o(laws and ordinances govemmg flus fype of work will be cornplefed <br /> whether specilred herern or noL The�ranling o/a pemul does nof r�sume fo give authonfy fo <br /> violate or cancel fhe provisions o!any other sfate or local law reguPfin,q consfrucfion or the i <br /> perlormance of consfrucfion. Thaf 1 am authonzed by fhe owner cf Ihis propeAy to porfomi Ihe � <br /> �vork lor�rhich applicafion is made and 1 comply wifh fhe 5fate Contracfors Laa� 18.27 RCN�and � <br /> 29G200 11'AC. <br /> �� �� , \ <br /> �- � <br /> � n rte � e �� <br /> i <br /> � <br />