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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, VJA 98201 <br />425-257-8810 - �AX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� 1 �. D ��. �I,.. S�- _ <br />PROJECT ADDRES� <br />r•.,.���.. sr <br />Owner �dail Address <br />C <br />� %1/�� P/ <br />Tenant Mail Address <br />� �i 1 ~ � � <br />�-��_ , 1-r�,, �,,, � �,� ;_ <br />Eler,tncal Conlractor Mail Address <br />�--1-�-f'�-� W S=�T_ Q�_3 � � <br />Sla:e Lic,:nsc Number <br />S t•�c, l� -��.�,1,.'1 I� a;��c c <br />Proposed U e of �uildin9 <br />Uoscriplion ol Work �o Bo Don��. _�_ <br />NOTE l�V'II�IWG ItJ IJ���J UIVCLLINGS IS R�OUIRLD TO <br />D[ IN I;ACfl:11'!,1'S, t.1C OR AC CABLE <br />Cdy <br />r <br />Cily <br />a�r <br />' J���� U�a �J <br />Sta�e2ip <br />.�� <br />- State/Zip <br />U� �(is �53 I2z� <br />{'honc <br />Phone <br />� <br />,���5� rv rti� � i � <br />S�alc7�p Phone <br />Contracl Price ol WurA -- —�- <br />Conlact Person (Plan Review) <br />i / i / � � /i ./� <br />� CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hr���br ,-rrtdy thnl I ha� �� rr�id ��nd exarrunvd this applicnhon anJ knoiv fhe sernu fo be tnie and <br />�onrrri� All p�ovui,ms al Lnrs and ordin�ncrs �ovornin� fhis ppe o� �rorN �vill be complefeA <br />�thclhi•i speciGe�d he�ein or nuf. Thn pranhn�7 0/ a porrnd do� s not presurne fo 9ive authonty to <br />' ���olafe or cancel fhe provisions ol any ofhcr sfate o� lucal la�v regul��6np consfruction or fhe <br />� per/orrnance o/ consfrucliun. ihat 1 arn aufhonreAby tlie o�vner o/ fhis p�operty to periorm fhe <br />' 15'O/A Iiil 15'IIICII d��JIICAU0f1 IS lII7(IC and 1 canpty with fhe Sfatc Confracfors Law 18.27 RCIN and <br />�'� 296 200 WAC. <br />r <br />�'i <br />EE <br />J 5 � `�° <br />1 <br />, ,�- �/ I� <br />� �- <br />