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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 425-2.57•8857 - www.everettwa.org <br />6 --g�o5 <br />APPLICATICINS ARE ACCEPTED FROM 8 AM TO 4 P41 - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />�oo� N 3Qi>aDuiA�( .�g-.3 _ <br />PROJECT ADDRESS <br />OWnef hlail Addwss City Statu'7ip Vhone <br />�� � <br />��V�N�f /f�tE'Qtc�4 IWI � B�'��� EuEREiT W� 982D1 3/1• sBNI <br />Tr,n2nl 61mlAtldross G�y Gale/7q� Phone <br />il)�---�—�`Sw�T`-/_�,t���e �/f_��N_,Nr�,..r� I�k��.,Ry �l �1/oS /t�tlul( l�_7 �5c�/. <br />Eledric.li Conirac�or A1aA Aadurss Ci1y SlalelTip Plwne <br />¢ yz�-Yh�-�>z�y <br />ADTsc �-'�i 3i�, s � q�� �/o�- 2oua <br />Stale License Numbor Contract Pncr ol Work <br />Proposed Use ol f3uJdiny <br />Descnption o1 Work lo �e Uone� �'u��«— CCZ � <br />NOTE- WIRING IN NON-DWELLINGS IS REDUIRED TO <br />BE IN R�C[WAYS, MC OR AC CABL[. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />�'�L.—f'�-meD 4is•4o2-33S'(i <br />Con�nc� Pcrscn (Pian Revicw) <br />I hrreby certJy fhaf I hav� rrad nnAexamined thr. app6cahon and tinnw fhe same to Ge, frue anA <br />rorrecf �ll provision� ol laws nrrd ortlrn.vr�ces gaiem�ny fhrs rype o! N�ork wdl be complefed <br />n�helher spocrGecl heran rn nn( The g�nnhng o� a perrnd do^s not nesurne to grve nuthonty to <br />wolafe or r.anrel fhe prowsons nl � ny ofher sfafn or local law rrgu�ifmg cons(ruc6on or fhr. <br />porlormance ol c�,�shue6on Thal 1 arn authon7ed by (he nwner or fhrs Properiy to per/o�m fhc <br />work lo� which n! -�Lca6nn is rnn�!o nnd 1 cnmph� wdh fhe Sfafn Confracfors Law 1877 RCW an� <br />79fi.700 WAC. <br />-� - <br />.�_�� -'�� -� U �O -�_: �S <br />s�,���:���„�. '.`-_ _ i,,��.� <br />FEE <br />