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/ � � � <br /> ��';-:����r � �--, <br /> 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 /> ,:-a�-� . i // � �� ;, �� <br /> �r� ,';��.L-/-��l= <br /> PROJECT ADDRESS <br /> ,� -� _ <br /> q � O_ � ,' ��/, �" <br /> e ' Mail Address Cily SlwleiLp Phone <br /> � ���^ J��� _ / / %/� i'.0 i� ..A�.�/]/�/ / �i�'l i :^ ��~j '/�'� <br /> �"7 l � � / ��! . / .�_.�S <br /> Tenant Mail Address 'Ciiy �'� Stale/LD Phone <br /> � `r��� ��'��%C / �y� %��J����� �:�/ +��J ._� //. - <br /> '�� . � L • � ( // . <br /> Eledncel Contractor Mnil Address � City Slale�Zlp Phone <br /> r� )�'_"/! . � / ���'1 �i'�/� �l <br /> " /_. N� �" !� r7�� �/�c_�— ''•� � <br /> � tate License N�mbei � Conhact Pnce ol Work <br /> _'!' /' � <br /> � ,F��'J%,i� ��� . <br /> Proposed se ol BwlAing /� Contad Person (Plan Review) <br /> � <br /> / l ) ' � <br /> Descri t�an of Work to Be Done / � �/� �,�, ������� �"•'%� <br /> � . � <br /> ';,� �� �y%'� �._ <br /> ;:'3��y:-i �j /' �,.^�. �i,\ -+,f. t� <br /> NOTE WIRING IN NON-DWELLINGS IS REOUIRED TO fEE <br /> BE IN RACEWAYS, MC OR AC CABLE <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS�106 <br /> I Irereby r,vrfJy fhnl I havc reaJ end e�ernmed fhrs apphcofron end hnow(he sorne to be liue and <br /> a>rrcr.t All prov�sr.�ns nl laws and orchnanrns govenung flr�s type o!�:or6 �tivll be r.umplotAd <br /> whefhnr sf�cAied horem rn nor Tire yrenbny ol a�x3muf Aoes nol presurne fo groo aulhon;y to <br /> wola(e or c�ncel fhe{i�ovisror:s o!�rry oltei stafe or local law�egula6ng consfrudion or flra <br /> pedorrnnnce ol mnsf�ucGon Tl�al I e�m euflronzriAby fhe owner o/th�s property t0 peAorm the <br /> work lor whir.h apphcaf�on is made ar.d I compfy w�Ni flr�Sfate Confrecfors Lew 18 27 RCW arrd I <br /> 796 200 WAC I <br /> /� i ��i <br /> Sq�nntine Dale �C1 V <br /> �� <br />