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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.evereliwa.org � � � �� <br /> � _ „ <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � <br /> - , -- ;� � - ,, .�_� �� Z , ; �: r�. C�v7��S��1 <br /> PROJECT ADDRESS <br /> , , � ._, � <br /> -Trf'�.�JJ'.'. � �.I� , �`� 1 �Y 1"J�, �_��. c/'..�1�. <br /> Owncr A1ail Addross City State/Lp Fhone <br /> Tenanl h7aA Addross City StalerZip Phonc <br /> � i �'}..�C:i; �.lir���.�c �.a_ '� L'��e ��u'1v.��L. '�w ���C�,�P�t� ���At,� 1,1� �Y,h'; <br /> Eleclrical Coniractor Mail Addioss Cily SIaIe21p � � ( Phone <br /> i :��� :�� .�,i.�r: <br /> � t1 � li: � � 1�'�Ir �'l' - <br /> Stale Liconse Number Conlract Prico ol Work <br /> Proposed Uso ol�ullding Conlact Person (Plan Revicw) <br /> Doscriplion of Work lu[3o Uunn: '� ��r�; >eAf�� ..�� � ���.t ',_�- ��� l�i . <br /> NOTE: W IRING IN NON-DW ELLINGS IS R[OUIRED TO PEE <br /> D[ IN RACEWAI'S, �1C OR AC CA6L[. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I herohy cerLly lhnf 1 hare�ead nnd extunin�d fhis ap��licahan nnd kno�r fhe senm fo be hue miA <br /> correcf. All pi�vlsions o�la�vs and ordmances governmg fhis fppe o!work will be cornplefed <br /> �5hother spcalied herein or naL The yrt�nfin�ol n pennd Aoes nof uesumo to gire eidhonf}�fo <br /> violale or cnncel(he provisions o/any otho�sfafe o�locnl la�s m�u�e6ng consfruc6on or fhe <br /> pc+dormunce o/conslnictlon. Thet I nm eufhonzeAby�fho o�rner ol Ihis property fo parfomi fhe <br /> H�oiM lor�rhich applicnlion is mpde anA 1 comply with fhe Sta(e Conhncfors Lew 18 27 4C11�nnd <br /> 29f 200 WAC. : <br /> , I <br /> _/, � , <br /> ./t . . % - ,j.�,/ �"�7- ' - .. _- <br /> / ii <br /> _ J'.._—__ __-_- _._ __ __. <br /> SipnilUlP� ^ .� U.lte <br />