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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.everetlwa,org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ;� <br /> �-117 C <br /> , _. •- , •, , i <br /> . \ <br /> �� , � � ( '�� -� __ � . 1���� � - � r� � , . �, , , � __ <br /> PROJECT ADORESS <br /> + - � � . <br /> � � � � � �� � � <br /> ----+ Phone <br /> �yypp� Mad Address Gty Slate/Lp <br /> Tenant Mad AtlA�ess Ciry Stale2ip Phone <br /> � }� i` � ��C 14 1� i '� I'1 � 1` l� I I��UV �`,V I �� "'�� � : '�C�_ E'`� L`:i � <br /> Eledrical Con�rac�or MaA Address Ciry SlalelZip P�one <br /> i1i� �� l� c -1 �C � i�� � Irn� l�— - <br /> State License Number Contracl Prce o1 Work <br /> Proposed Use ol�uilding Contact Person (Plan Review) <br /> Descnption ol Work lo Be Done� l � .Y .y ��� ����I � � �� � � I C�� �� I � 1��i _ <br /> -� � ) I � � �.� '1 Z �C��'c � ����L•�--(���'" �� �� , <br /> —� <br /> NOTE WIRING IN NON-DV✓ELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CADLE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 , � <br /> 1 hr.reby r,r.rtily Ihaf I have maJ dnd exarnined tlrrs appbcafion and Anow tlre samr, fo he fn�e anA i� � ,'.�` l� � 1.�f <br /> conr.cl All p���visinns ol laws ond ordmnnces govemmq fhis type of work will be comploted �_ - <br /> whefhr.i specrlicd hemrn o�nol Tlre gr:+ntiny o/n pr.nmt Arxrs nof presume fo give aufhonty fn <br /> vinlnfr or cancel(Ire provisions ol nny ofher sfnte m local lnw m[�uleGng consfnrctiun or fhe <br /> pedunnance ol consfnir.hen Tlraf 1 nrn nuUronaeA hy fhe owner o(Ibis propeAy fo peAonn fhe <br /> worw lor whrr.h npplicnhon is ni,�ne nnd I cornply with Ihe Sfafe Conhacfors Lnw 18 27 RCW and <br /> 296 200 WAC <br /> ' I / <br /> � r <br /> � 1�; �. I �—' <br /> `�____—'_ -��- <br /> �—S�gnalure �� ale <br />