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ELECTRICAL PERMIT �4PPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8A57 - www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �2 - � 3- ��J <br /> ---- — (=U � 02 _ � � <br /> . �� ,��: y:, � <br /> ,�� /' ,� r' � ,// <br /> � ' �. � ' <br /> PROJECT ADDRESS <br /> , 'l . � i �I Ii l� .. J�J �,. �l � � L-.) � 0 ��U <br /> Owncr Mail Address Cdy Stale/Zip Phone <br /> _�� � �i � i <br /> Tenant hlail AAdress Cily State/Zip 1 Phonr <br /> �� � lo <br /> 1 � � ; �� ; ; ; �2, �,, �� � �� l� �li_LzL-2 _ 9 81`�� �.��2. <br /> Electrical Coniractor Mail Address Cily Stale2ip Phone <br /> II �`'il% ( i � �" � ���' L ('j� lSbo. -- — <br /> Stale Liconse Numbcr Conlract Price o1 Work <br /> � , ' � , • ."v L � � � � l <br /> Proposed Use of Building Contact Person (Plan Reviow) <br /> Dr.scription of Work to�a Dono: �-_�' � ��-� � � �`� �- � � � �� � � � � <br /> � �� � '� �-� GY �I �� � S? FIR� � rL'�1�✓►'1 �oN� L <br /> NOTE WIRING IN NON-DWEILINGS IS REQUIRED TO FEE <br /> D[ IN RACEWAYS, MC OR AC CABLE <br /> CITY OF EVERETT LOCAI SALES TAX CODE IS 3t05 <br /> I heiebp cert�ty fhal 1 hn�r���aAFlnd eaarwned fhis apphr�6on nrid Ano�t�the seme to be f�ue nnA <br /> �:unect �ll pnrvisions ol la�vs and o�d�nances�overning this lype ot�tvrk will be cemplefed <br /> whcthe� specilied herein o�noL The y���nfu��n!a pernel Aoes nof presunie lo give aufhorify�fa <br /> v�olate ur c�ncel lhe I�rovisions ol any ofher sfafe or lucnl lew repulaling consfrur,hcn or fhe <br /> perfonnance ol conslruc6on. Thet 1 arn authonted by fhe o�vner n�Ihis property N peAorrn fhr <br /> woik lor which npp6cafion is mede and 1 cornply wifh fho Sfafe Conf�ecturs Law 18 27 RCLN and <br /> 296 100 WAC. <br /> L <br /> , / �. 2 - 23� Zv� � <br /> - s��prduu, oa�c <br /> �,� � _ � � � <br /> J <br />