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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � � �6_.� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org �//b '7 -��3 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> " � <-- � �> y - J� �� ���� � <br /> ROJECT ADDRESS <br /> �._���� � �-� 06 ��� � ����� +� %�. � �� � <br /> Owner n9all AAdrass City Slate2ip Phona <br /> Tenanl A1all Address City Slate2ip Phono <br /> �i =� r1�� l -�� '�� ���� .���u�� ��� ��.�o� `f� s� iq <br /> ElectricalCon�rector MailAddress Gry S1ale/Zlp Phone <br /> �f��� j �� 1� �T �;��,� � ( -��' � <br /> Slate Ucense Number Conhaql Pdce oi Work <br /> ! <br /> d <br /> Proposod Use oi Buildin� Conlact Per n �Plan Review) <br /> Descdpllon o(Work to Bo Done: �" �v��� � ✓t � � �� � ��� <br /> �fl l <br /> ' G( ( C !"✓ �( " '� O�c�. J� <br /> NOTE: WIRING IN NOW-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I he�r.b}�cuRily fhaf 1 harr.rond nnd exemined(fris applicnfion nnd know tho serne to bo fruo and � i i 0�� - r 33 <br /> correct. All p�ovisions o/laws nnd ordinnnces�overnmq fhis type o/work will bo completed <br /> �vhe0�er speciGed horein or nof. The granfinc�ol e perrnit does nof vosume fo give nufhorily fu <br /> violale or cencel(he �rovisions o/eny ofher sf�fo or locallaw repulnfing construcl�on or fho <br /> perform�nco o/cons�rucflon. Thot 1 am eu(hoiized by tha owner M(his properly to perlonn Ihe <br /> u�ork lor which npplir,n(ioqis mndo nnd 1 comply wilh fho Slate Confrocfors Lew 1827 RCW end <br /> 29G100 WAC. <br /> 7 <br /> / �---- . > �1� <br /> --- i (� �,Da�_ � ,/-� \ <br /> SinnaWre / <br /> � <br />