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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES 12 �i9�o6 <br /> 3200 CEDAR STREET, EVERETT, WA98201 COb/Z•tf� <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �c� �"t �-A��.�r � �z ;r,�r_, <br /> PROJECT ADDRESS <br /> �nrt TcR �� �.� _ — <br /> Owner Mail Addiess City Slate2ip Phone <br /> TonFlnt Mall Address Ciy State2lp Phone <br /> `125 �jub 5)�`i <br /> �C1T�f�,\i �__l ��C � c, u � r ,..I � � i� 1�i� <br /> c r ' � S � ,� � PJ �Sf{�ir��l���f J �`i ^-� � <br /> Eloclrical Conlraclor �1ai�nddress Cily Slale2ip Phor.e <br /> `yJfr,�r. I� I �l�) IL�L �]�'1_��) — <br /> State Lir.onso Number Contrecl Prico ol WorV. <br /> _ � <br /> Y �` — <br /> Proposod Use ol Buildinc7 Conlact Person (Plan Review) <br /> � ` C C rJc� (' <br /> Dr,scriplion ol Work lo(3r, Done: �i) i� f-�`i '�C "��� �� .�"' .._ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> OE IN RACEWAYS. MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hei�b}�rnrtAp fhat I hn��e rend rind ernnuned fh�s npphcafion t�nd hnow(he snme fa be true anA <br /> r.onrc(. All provisions o!Imt;s und o�dinances govmninQ fhis lype el work�rill be completed <br /> H�hefh�r specihed he�rein oi nof. The r�ranfing ol a pnmiR does nof nesurno to give authoriry fo <br /> v�olate o�cance/fhe rnov�sions ol mry ofhe�sfafo or locnl lew regu�rtmg�onstruction or fhe <br /> pe�tonnance o!consfruclion. Thef 1 mm�ufhorized 6y fhe owner ol fhis property fo pei�ortn fhe <br /> work lor which npplicntion is made and 1 comply�vifh fhe Stafe Confroclo�s Lda�r 1B 27 RCl1'and <br /> 29G.200 11'AC. <br /> �� I' ��' . <br /> �__- ��- -�_ l � ; � - -- <br /> $i{JnalUfC U.Ve <br /> �� �� � � <br />