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ELE�TRlCAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� �--� <br />� r f �� f F� ,� �,�,.._ <br />_ _ �_ <br />., , <br />PROJECT ADDRESS <br />' � .; , � r.� � 1 <br />O��ncr--- -- �-_— Mail AAdress -- - � — Qly -- � <br />.�^ <br />Tenant hlail AAdress <br />( �,. � � , �' � ! � �, �� � �`i � <br />�. <br />Electrical Contrar,lor Mail Add�ess <br />i ' 1,.. . /` � _ r _ ,' �'�' % <br />Slato Licopse Numbcr <br />�� � �- <br />� <br />Propotii•d Utic o� Buildlnp — <br />-lr-(% f�r. <br />Descriplion o� Work lo [3c Dnn�� __ _ ___ <br />NOTE W IF21PlG IN NON-D�NELLINGS IS RE�UIRED TO <br />�E IN RACEWAYS, �1C OR AC CABLE <br />ICITY OF EV[RETT LOCAL SALES TAl( CODE IS 3105 <br />� 1 heioby crrLly fhat 1 b�ve �cad and cxamuieil ihis ��pplica <br />n,rr �f. �ll pro� isfans oI L�ws nnd orJinnnces go�-crrung t <br />nl...ner s�rCHu'd herein or nof The pranbng o! n perrnd � <br />�violt�fe or�nncn� tho Inovisions ol any ofl r sfofe o� local <br />pe�fonn ince ot ronsfmcfion. That I on rtl nzed by the <br />i work G� which anplica.ion is n c]y� c+; 1 c ipl}� with U�e : <br />296.2,OWAC. � O`� <br />_. <br />s�ate2m <br />Phone <br />City �/� Slate2ip �/ Phone <br />� JO "�'l. N�� �rliFlt.!!k-�'/ <br />Ci�y Stale2ip Phone <br />� <br />Conlrad Price of Work <br />Conlact Person (Plan Review) <br />��t:� 1�(,ai`f 1 <br />�n anAknow the same to be fruc nnd <br />s type o! work will be completed <br />ius nol �resumc fo gi�•e aufhonty fo <br />�r reauletino consfruc6on or fhc <br />1827 RCW and <br />"� / _.�/� <br />� <br />FEE <br />;j ' i <br />