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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.evereltwa org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ;�� � , . � �-'�, �1 <br /> PROJECTADDRESS <br /> .',l <br /> l' <br /> Owncr Mnil AdArn,ss Gly Slale?ip Phonc <br /> Ten�nl MaA AAAress Cily State/Lp Phone <br /> (°��� <br /> .1L�'�� i. .� � < i' ��_�>. , 7�i�1 r�1� � 3� � rl, c���� ��� ;�.� .;� < < , <br /> ��= - <br /> [leClrical Cnn�raCtor Mail AdAress � C8y ` Slnlelllp Phona <br /> i� (�'II �-.l I < c , , t iti i7S'�ti '' -- <br /> Stat�License Numbr.r Conirecl Price ol Work <br /> �w I l.�-.,.i.. <br /> Pmposed Usr ol OwlAmg Conlacl Pe�son (Plan Rewewl <br /> Dnscnp�ion ol Work ta Bc Done. ��� / � � �� (. . .�� , � '� /:_ �-c� � ��� � i '�. � <br /> � ��;'L.. < < /� � _/�i�� .. t '�. �; �., � <br /> NOTE WIRING IN NON-DWELLINGS IS REOUIRED 70 FEE <br /> !3F IN RACEWAVS, MC OR AC CA6LE <br /> CITV OF EVEREIT IOCAL SALES TA%CODE IS �105 <br /> I bvrnby r.erfily fhnl I havn rend and oenrnmrd fhrs app6cnfrnn ead Xnnw�Ire s�me fo he hue nnd <br /> rnnr.cl �II prov�sruns o(laws and orAurances�nvnrnmg fhis fpp� o/worM wdl be conrplofed <br /> whefhe�specdied hr.min or nol Ihe granlrng n(n ponnrl dnes nof nesurne fn yrve aufhonfy fn <br /> v�nl�fe ur r,prrrol fhr provrsinns o!arry olh�3r slafe oi lucnl.aw regu�ihng cons6uchnn nr Ihe <br /> perfornranr.e ol rnnshucfion 7haf I nrn null�onmd b�Ilro ownar olllus prnperty ta perlarrn thc <br /> �M1�nk!nr whirh:ippbrnlrnn�s mnde Flnd I comply wdh thr, Slnfe Confracfors Lnw f A 77 RCW nnd <br /> .��r �no nc <br /> i <br /> �� � ..� ,� G ZU p� <br /> — �;�,i��;����,� oai --- <br /> i <br /> I \l ' � �� <br />