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� � � <br /> , <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 I� '� "PJ7 <br /> 425-257-8870 - FAX 425-257-8857-www.everettwa.org � 7��� 3� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ���� 1��� �`��ll�'�� ��C'a ���—(1 <br /> PROJECT ADORE33 <br /> � � <br /> � � C � ���I �u(�I�E'�-�" �U� <br /> ��-�%�r��.� � �, C ,�Y � , <br /> Ovmer Mail Address City Stale2ip Phone <br /> T��� � � Mail AGUress 1 I Clly Stale2ip f ���o�� � <br /> . /( < ^ f / '' � � <br /> ��Y� i m � r� E� ,� �- , �� �P ,� - � �� Q � � , <br /> ElednWlContractor MailAdAress City StaleZpf Phone <br /> `c7C T l� <br /> � � n =� ��r� �,�� � l �, <br /> -, . , �.L <br /> tate License Num er Contract Price of Work <br /> ������'(i'I (�1�� � �� � � <br /> Praposed Use of Building Con d Person (Plan Review) <br /> � �t, <br /> Descnption of Work to Be Done. ��� � + � �t y� �I '�) � <br /> , � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br /> I hemby ceArly Ihnf 1 have read und examinod fh�s upplrcahon and know fhe samo fo be lrue and �v7 (U .�O 2-7 <br /> cormcf All provisions ollaws and ordmances govermng fhis type oI work will be complofed J ! <br /> whelhor specdied heiem oi not The grnnfmg ol a permd does nof resume to grve authonty to <br /> aolaie or cancel fbe piowsions of any other sfafe or local law�eguPhng conslnictwn or fhe <br /> pcdormance o/consf�uchon Thaf!am authonzed by fhe ownei ol fh:s property fo peAorm fha <br /> work!or which application is made and I compty wifb fhe Slate Confr�cfors Lew 78 27 RCW and <br /> 196 200 WAC. _ <br /> I <br /> `� `' `!,I(�- <br /> , , , <br /> ���tv (� �- J � �/� � += � <br /> � Signa�rte ate <br /> � <br /> � <br />