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— —� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 a � g -O{ <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> C- 06oz-��f�Z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PROJECT ADDRESS <br /> " � l, <br /> Owner A1aii Address Clly Slate2ip Phone <br /> Tenant A1ail Address City Stale/Zip Phone <br /> _ _.__.__.____ ___ . ___.— - _—.__ ----- <br /> [loc�nr.al Conlr.tc�nr �4atl�AAm;s Cily Slnt�lZip Phona <br /> Slate lir,ensc Numbcr Contract P�icc ol Work <br /> Proposed Usr,o� C3uildiny Contact Person (Plan Review) <br /> Descrlpllon ul Work to l3��Dunr�. __ � , � . ' � . _ ' . . <br /> NOT[ WIRING IN NON-DWELLINGS IS REOUIRFD TO FEE <br /> �E IN RACFW�YS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J705 <br /> I hrreb���:rvLl} fhnl 1 h��cr ivaJ and exnmin�d th�s applicafion nnd krro�t�fhe seme fo be frue end <br /> n�nac( All provisiorrs ol lrnrs and o�dinonces govcrnin�fhis fypo ol wurk will be cumplefed <br /> �tliefhrr speciGed hr�cin ar nof Tho�renfing ol a penmf Aoes nol >resunro to glve autl�orify lo <br /> violafe or r.r+ncel fhn I�rovisions ol en}�ofhe� slefe or locel Imr regulafing consfruction o�Ihe <br /> perlo�mm�ce ul consf�uchon. Thnf 1 am oufhorired by fhe owner o!fhis property lo pedorrn(he <br /> uoiH lor which epplicaGan is rnndn and I cornply wifh fhr Slafe Contrrvcfo�s Law 78 27 RCtN nnd <br /> 19fi.200!h'AC. <br /> � SlgnaWre __.__-�__. Uat� ---. <br /> . .. ___ _--.__—___ ` ` ) ` ��— <br />