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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 /> / f /, I <br /> PROJECTADDRESS <br /> Oyy�e� Meil AOUress City State2io Phone <br /> i ' <br /> � , i � / ; � � - i y i ' ' <br /> . <br /> Tenanl Mn�i nearess Gty 5�n�eiZ�p Phore <br /> � , � <br /> , , � � , <br /> EICC1fICal COnlredOf Mnil Mdress CRy Stale2ip P�^� � , <br /> ; 1 Ii <br /> State License Numbe� Contrad Pnce of Work <br /> Prbposecl Use o1 Bwlding Contact Person (Plan Re�iew) <br /> � .i . <br /> Description ol�Nork to�e Done � ��_��� ��'� - � � �' ' �' <br /> � f � � � � <br /> i--� <br /> NO1 E VNRiNG IN MON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE n� � <br /> G <br /> CITY OF EVERETT LOCAL SALES TAX COOE IS 7105 <br /> I harehy ceridy thnf I hnve raod nnd exnmmed fhis opplicnfmn nnd know fhr, same fo be frue�nA <br /> correcf All provrsinns ollaws end ordi�encr.s govemrng this type o/work will Ae complofeA <br /> whelhr�� sper.dred berem or nof The g�nrrhng ol a perm��does nof �esume(u grve aufhunty fo <br /> vrolnfe or concel lhc provrs�oru ol eny uther stala o�loc.,.Inw reguPhng ronsfnichon or flre <br /> performari�e ol cunstn�c�uin Thnf I mm�ufhonzeA by Ihe owner o(this pmperty fo porlonn the <br /> work!or whir,h nppl�.;nhon is rneAe nnd I romoty wdb fho Stnfe Conf�acfors Lnw 78 27 RCW erd <br /> 296 200 WAC <br /> i �J� <br /> 5ignaiure Daic I / <br /> �I6 <br />