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ELECTRICAL PERMIT APPLI�ATION � <br /> CITY OF EVERFTT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 J I - ?�- �� <br /> 425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br /> L v 7�! -l�l� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> i � ��_) �C '�< < '� �� <br /> PROJECT ADDRESS <br /> �-- �l�-ti�� � n�% ��J `� � ��=� f'���� <br /> �L`�y:� � � ,_ — <br /> Cwner � A1ail Address City SlatelZip Phone <br /> Tenant A1ail AAdress Gry StalelZip Phone <br /> r � /'��(_ ' � <br /> EIoC��i�clor A1ailAtldress City StalE2ip Phone I <br /> Sla�o License Nimiber Conlracl Prico of Work <br /> ProposeA Usc of Building Contacl Person (Plan Review) <br /> Descriplion of Wark lo �e Done: l �J�+�- � �- '� � '�, �,�` �� '`� �` � � �� `I��< < � <br /> It . � 't '. ,`. <br /> ) <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE � <br /> 6E IN RACEWAYS, MC OR AC CABLE. <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby cerLly thaf I have iead ond��xnmineJ fhis apphreGon�nd l�nou�fhe some fo be f�ue nnd <br /> <<�n��cf AU prowsions of la�vs�nd ordrnnnces goverr,ing fhis type o!wark wdl be completed <br /> u-heUier speci6ed herein or nof The granfing c�!n parmR does not vesume lo�ive aufhority fo <br /> nulafe or cancel fhe p�ovisions o(eny olher sfafe or local law�egu�afine�conslrucfion or fhe <br /> porfonnancF ol construction Thef I am aufhonzeAby tho owner o/this property fo peAorrn the <br /> �vnrk lor which apphr,nbon rs rnaAe anA I comply wffh Ihe Sfere Contraclors Law 7827 RCW and <br /> 79fi 200 WAC- <br /> � ; Z � <,_,�� <br /> I ----s��ntiiiu�,: _ _------- oam -- <br /> � <br /> I ��' l /l' I`lI <br />