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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3700 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 - www.everelhva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> / Z ��D < � � �� !� _ <br /> PROJECT ADDRESS <br /> y-s��' 3 <br /> �,, � � � ; � � �, ir . !<' j �.> C-�s , .: . c0, l ✓��� C�i� `1LT-r >P- 73�" ' <br /> Owner Mail Address Cdy State?.ip Phone t <br /> Tenanl 1.faii Ad9ress Cily Slale2�p Phone I <br /> _< <;.,��� ���; /r5 S� .Sr'i�� i6 a/ �vG •��r �--l- �r� 1� `/,�'2d1 `IL�- ZS%" 2/GIy' / <br /> L Iri�ICon�ra.lor MailAddress Cip Stalc2�p Phonu I <br /> �ti'i�i /�/2 L� <br /> �-j�, , .. <br /> lrl �y.� . l>:���=��Y ..?�;-- /�,�-,v .— '' <br /> S�ale License Numl�er Conlrar.l Price of Work <br /> �� �/' � -/� !� CL % ��'���. <br /> {'roposed Usc ol Civild�ng Cnntar.l Person (Plan Revir,w) <br /> Desciipliono(Worklo �r. Dunr ---. -- �_ /('� �L��li�,� �/ '/ t ��t� �/�Cri'��� <br /> i <br /> � <br /> � <br /> — -- I <br /> NOTE WIRING IN NON-DWELLINGS IS REQUIRL=D TO FEE <br /> B[ IN RAC[WAYS. PdC OR AC CA�L[ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> � 1 firrrht �.��rfr!y lh;if 1 ha�r�rrad und i���irnumd Ihis npphcahon an�l tino�� fhi�some W b�fnie and <br /> �,we� f All p��iv�si.�ns rl la��rs and�nJrnances govrrning fhis f��pe o!�torh wdl be corrrplefed <br /> �shefhc�specdied he�ain or nol. The gnnGn,q o!n pmmd docs nnt nesurne to grve aulhordy fo <br /> ��olafe or cancM fhe Ixovisions ol any oUier sfafe or local Inw regu��hnp cons6uc6on or fhe <br /> perloiniance u!constiuction. lhaf I�nr aulhorized by Ihe nwner o(fhis piupaiy to perlonn fho <br /> iverk lor �vhich appOcofion is mtide nnd 1 cornply�rifh fhc S(ate Contracto�s Lew iH 27 RCW and / �-. <br /> ,'nf, "100 WAC. � <br /> �/ �� '-`1 - r-------i �c - �� 9 � � <br /> � ---. _ - <br /> s�u��:d����. u.vr <br /> I <br /> I . _ — ------ <br />