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� - �� -0 <br /> � <br /> 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 /> PROJECT ADDRESS <br /> � , ` , _ � � � , � i � � � ' � ..'� �-, _ � ! , -• :� <br /> Ovtnor Mail Address �� Clly Slale2ip Phone <br /> 'enan� MallAddress Cily 5tale/Zip Phone <br /> � , i • � . ! I! l ii � t �,�1.. '1�1 �� I I'� V..�� i ,�� ( - � . <br /> Elocdical Conlr�c�or Mail Address Clly Sl..te/Zip � � Phune <br /> _ �% <br /> � . . � , . ' ' � , . '� 'c c ��� <br /> SL31e License Number Contracl Price o1 Work <br /> � -� �'. j � _ . '� <br /> Proposed Use ul Ruildiny Conlacl Porson (Plan Review) <br /> Dos�-riplion ol Work lo Oo Dono: � �� . �. � . -� I "1 <br /> � �- � - � � �'� � � � � � 'l � • ` � l, i `=L_ <br /> � �� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAti'S, MC OR AC CADLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hcs�by certily fhnf I hnvt�r�ad anAexeimined fhis application nnd hnow fhe snrne to be fruv end <br /> conecf. All provisions o!laivs ond o�Ainences�overniny this type o�work will 6e campleted <br /> whethor sp�r.dieAherein or noL The granbn[�ol Fl pennrf does nof �resumo to grve eufhnrity fo <br /> violafe or cancol fhe I�rovisons ol eny ofhor slafe or loco/low regu�efmg conshucfion or fhe <br /> perlormancP o/construcfion. 7hat 1 ern authorized by fhe owner ol fhis property to perfunn Ihe <br /> worh loi whir,h appljcnfipn is rnade and 1 cnrnply with fhe Sfnte Ccn6actors Lew 1827 RCW nnd <br /> 796 '1001NAC. � <br /> �. � � . I <br /> � � P, <br /> __�_-tiiqndi�m.__.__— ' Uafe ._ .. r�l� I �' � 55 <br /> � <br />