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� <br /> ELECTRICAL PERMIT AP�'LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425•257-E857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DE81T 8 CREDIT CARDS ARE NOT ACCEPTED <br /> , I j <br /> � < <_ ` � ; ��. � l <br /> PROJECT ADDRESS <br /> y � <br /> � l . . <br /> —__, . . � l � � � �_y �_. �� � .—� _ � �. l �� �' 1 �l /�. � � ��- ��.� �1 � �� � -� � . i <br /> Ownc;r Moil AdArrss Cily SfatelZlp Phona <br /> Icnant MailAddress City Slate/Zip Phonc <br /> _ ——...________ <br /> -.__ . _.. __ ___ __—_— ___.__. ____ ._____—__ <br /> EICCIiir:d Canlr[Iclu� Lt.id r11 4i..s ('iP; Stn�r'Zip PhonR <br /> Slafe Lir entin Number Contrtv,!Price OI Work <br /> \ �� <br /> Proposr.A Use o(Building CoNact Person (Plan Reviewl <br /> Descri�dion of Work to �c Dona � � � � ' � i �- ' �� i�t j-' <br /> NOTE' WIRINC� IN NON-DWELLINGS IS REQUIRED TO FEE <br /> �E IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 h�vrby rrrtity fhaf I 6nvr mnd und oxarninrJ fh�s opp6ca6on and Fnou�Ihc same (o b�frue and <br /> ��on���:f All piarrsrons ��(ld�tis ,inJ a�d�nana�s yovrnun�fhrs fyp��ul work�rdl be complefed <br /> �vhrfh�v sper.ihed hezrom��r nu! 1 he�ranting ol n pernuf Jurs nof vosun�e to give auUronty to <br /> vinl�fe ni canr.ol fhe vowsions o!nny ofher sfafo or local law�egu�n6n�7 canshucfion oi fhe <br /> per/orrnnnr.e ol cons�rucfiorr. That I anr aulhorized by Ihe owner o!Ihis property�o pe�lonn Nre <br /> work lor which npplicaGon is meAe and I cornply with fhe Stafe Conf�Flctors Lew f A Y7 RC W nnd <br /> 29�200 WAC. <br /> , <br /> ' Ei { <br /> , <br /> , , , <br /> � _, � ,. .. � , ', �,`� �� �1 , .:, �_�� � _� <br /> Si�naW�e UNe -...._. — <br />