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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 C� ��—Q7 <br />425-257-8810 - FAX 425•257-8857 - www.eve�ettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � D�� ��� <br />� � �. . <br />PROJECTADDRESS <br />Ownef M11ail Address <br />Tenant <br />Mail Addiess <br />.___ ._-.___... _ <br />(_Indnrnl C��nlini Inr L'.nil,�bh��.�. <br />S��i�o I ir.��ntia IJunibr�r <br />I'ropusod Use ol BuilAing <br />Cily <br />City <br />� <br />Sta'cilip <br />S�atc2ip <br />titr3lo Lp <br />Con(rart P:ir.r, ol Wnrk <br />Conlacl Person (r'len Reviewl <br />� � 1 i <br />!_ <br />UnscrlptionalWoiktoBeDono�. , � 1 `' r �� ( ��'� 1�1/ . (_t��/ � �-�!� � �_c�.� , <br />NOT[ WIRING IN NON-DWELLINGS IS R[QUIRED TO <br />DE RJ RACEWAYS, MC pR AC CA�L.E. <br />CITY OF EVF.RETT LOCAL SALES TAX CODE IS 3105 <br />I h� �rrf�}- r.�vb(p fhaf 1 hacr mnJ:ind exnnrin��d fhrs ��pplicahon anA hno�v fhe same to he Gue and <br />�.�n� �r ( �ll provisnins <�l l�uti�s �inAorJinances gorrming Ihis type ol work will b�: completed <br />uhrfhe� sprcihed heioin o� nnf. The gran6ng ol n pnmut Aors not �resume fo grve fluthonty to <br />� r� dafe oi cancei Iho rvicearons o� nny ofhei sfnfe o� local lew mgu�afing consfrucGun or Iho <br />pnrlonn.ince ol consfrur.fion Thef I am authorized by fhe e�sna o/ (his property lo perforrn fhe <br />�}�,vk lor wluch nppncafron is rnnde and 1 comply wdh fhe Sfale CnnfracNrs Le�v 18.27 RCW end <br />.'�+G 200 WAC, <br />, <br />r �1 �-� J -� --, � <br />i �/`�_" �/ 1 i�/ , �, <br />� " _"_ _;:,.P�.,�I�iu. ___ - "__ DaL-_— _ — <br />fEE <br />F ��iOC�- �'t�� <br />Phane <br />Phone <br />Phonr <br />