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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 /> � 1 <br /> i � � - ��' �1p1 � . �` _ � V : . . i � , .� .� � <br /> PROJECT ADDRESS <br /> . . � ��� `� ��r . ..J� I . �>I :1�r'i �-�li� (�': _�,r.��IJ,r�•lU �)) �,�(, �l ' i <br /> Owncr A1all AdAress City Slate/Zfp Phon? �;'4. '' <br /> A � <br /> � (.-l4 , 1kY <br /> � <br /> � ` � � )��14.�i .� , ? �- r ,��tibU, c,��� � ✓!_✓: , � _�� )�i'�'� 7L'•-r� <br /> Tananl Mail Address Clty SlaleZp Phonc <br /> l' <br /> ,! L _ . <br /> Electrical ConUaclor Mail Address C0y State2ip Phone <br /> Slale Liconse Number Contract Pnco of WorY. <br /> (_ . ,� ' '� j� _ --- <br /> ProposeA Usn ui Building Contac!Person (P an Review) <br /> 1 <br /> Descriplior�of Wo�k lo Oc Uunc. _ � � � :�T�"" =- __ _ <br /> NOTE: WIRING IN NON-DWELLING� IS REOUIRED TO FEE � <br /> BE IN RACEWAYS, MC OR AC C.�•,DLE. <br /> J <br /> � CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I heroby rurtily thnf 1 have rond nnA exnntined fhis npplicntion nnd hnow fhe serne(o bo f�uo end <br /> torrect Al!provisions o!laws end or<linances govorrung fhis fppe o(werii will Ge comploteA <br /> whefher specilieAherein ornot. The grenting ol e pernuf does nof iresumo fo give aufhonty fo <br /> violnle or r.ancel fhe provisions o(eny ofhrr sf��fe or locnl lew regu�ating consfruction or the <br /> NN11UffP7flr�+p/COIISIru^tion. Thn(1 em aufhonzed by fhe o�vner o!th�s proparty fu peAomi fho � <br /> I w-��1� loi ��hich npp6catior.Is rnndo end I comply with fho Sfnfe Cnnfrnctors Lew 16.27 RCW end � <br /> zsc zoo�vac � <br /> � � .� � � (��7 <br /> -- ---- --------- --- �\ V <br /> .. :iwr�alum . _ ' DatB �I\��1 <br /> f�x/ �� v <br /> V <br />