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� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVECES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 I� ' � ��b 6 <br /> 425-257-8810 FAX 425-257-H857 -wxnv.everettwa.or9 C (�(� 11—��3 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ; ' lll ��, r� _��,-, (��.1 L���r��f, l.v�t `���-,_��� �> <br /> PROJECT ADDRESS <br /> � �1 ? ��i�_ � , n� � .� ��� �. ; � ,: � �;; <br /> J �� � _ JS`'� � — � __— ��' �—_— � --_�__ � L�� � t �.� ' . 'i <br /> Owner h1mlAddros� Cn� State!Zip Phone <br /> — . .__ _____._ . _ ._____- ----_—__ __ _ <br /> Tenant �.t.�dnd�f,�.,; r,r; si,tr��7q, Phaie <br /> f ler.lrit:al Conlractor Mail Address Cily Sta1e/Zip Phone <br /> Slate Licenso Num6er CoMracl Prico of Work <br /> Proposed Uso ol �uilJiny Conlacl Person (Plan Review) <br /> Descriplion ol Work ta L�a Dun��. <br /> NOTF: WIRIfJG IN NON-DW[LLINGS IS REQUIRED TO FEE <br /> �E IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> 1 hmeby ccrlily tl�af I hnve read nnd ea.inun��d this npplicn6on and kno�r fhe same fo be(n�e nnA <br /> coirecl. All provlsions ol laws and urcLnences governmg this type ol wurk�rrll be cornplefod <br /> whethe�specilied herein or noL The�7r,intiny o!a pernut Aoes nof��resume to give autliority(o �7 <br /> violate or c�ncel fhe t�rovisions o�nny ofhei stafo or local lew iogu nfing construcfion o�tho 1-LV U � Il ) <br /> peilorrnance of consl�ucfion. Thef I nrn nufho�izeA Gy fhe o�vner o!fhis pruperty fo pedonn(he <br /> �vo�F Inr�vhich applicofion is rnade nnd I cornply wifh fhe Sfafe Cenfractors Latv 18.27 RClNend <br /> 29fi 100 WAC. <br /> � � i= ; � > � `- � 1 - ) ? -� � �� <br /> ---�m,:,iu��- ----------- —u,ie <br />