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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1 <br /> � _�C�� j��(- 'rt�;� ��c� kr r Ir�i� ��� f� <br /> PROJECT ADDRESS <br /> �GL1C �C ��"l:� � 1C i S �f°IlC'��1,1C.�1C� 1,���C <br /> Owner A7ail Addross Clty Slale2ip Phone <br /> Tonanl Mail AdJress Clly Slate/Zip Phone <br /> � ��. <br /> �unm�,� `c Icci i�C T;�� r�'�G��_►s`.�T �;���, Sianw���c�cl, Wa �i��►a ���i -A���I <br /> Eleclrlcal Conlrac�or Mail Address City SlateZp Phone <br /> �1�i�1n� i � i�;t�c��k �ct�. — <br /> Slate License Number Coniracl riccr ol WorY. <br /> `��1�G'��r i C1111� 'U �FS . _ �( r � ��C�C�C k <br /> Propose se ol 13uildinc� Con�acl Person (Plan Review) <br /> Descripliun ul Wurk lo De Done: �l,l � I C\ I I P ��� � I I C C�� k�11 \ �1� �Z�1 �I{�q� � . <br /> �_� '��dc ��c � hc�„�- . <br /> NOT[ WIRING IN NON-DWELLINGS IS RLaUIRED TO fEE <br /> D[ IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 h��r��bp�rvfil}�fhaf 1 h�ivc read and oxemined fhis npplicn6on and l.now fhe same fo be hue and <br /> conecL All pri�visions o!Imss and orAinances�oveminy fhis f�-pe o!work will be complefeA <br /> �rhefber speci(ied haein or nnL The grnnhng ol ti pernuf Aoes nol presume fo give oulhonty ta <br /> c�o/nfe oi cancel fhe t�rovisions ol any ofha sfate or local law regulating consfrucfion or fhe <br /> pr.rfommnce ol consfiucfior� That 1 ern autlionml by fhe owner ol Ihis proporty fo pe�furm fhe <br /> worp lur �shirh�pplicafion is made nnd 1 comply wifh fhe Stale Confracfo�s Lnw 1827 RCLM anA <br /> 296200 WAC. <br /> ��I�,r � i ', "� ��u,n-c u �L 1 l �1 �C- <br /> -- Signalure Dat I � <br /> (`1,C;5 i( -;�5�{ <br />