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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 /> , � �� <br /> PROJECT ADDRESS <br /> I <br /> �(��� ; � � -�t � ; . �ill �' lGc"/C( ii /��'% � <br /> Owner A1ail Address Clty StabRip Phone <br /> 1 i <br /> Tenant Mail Address Cily �. � � Slato/Zip Phonc <br /> � , � �,; ,-, 7u✓ � riv�i�vd,�, �,l ��:� 46 zc;_ <<:• <br /> lar ! �i�NL� ' t �i�-�I I l � �:�rl�� — <br /> Eledrical Contractor Mail Address C1ty Slate�Zip Phnne <br /> � � ! Q1'�/)Il/. � .� 5– C� � ��� i����i <br /> i <br /> Sla�e License Number Conlracl Prico ul Work <br /> j•` ( S � j, :� n� � I /-) � -- <br /> Proposed Use ol DuiWmq Contacl Person (Plan Revicw) <br /> Uascription ol Work�o Do Dunc�. _�_' / � �l : j '!- /' �' � i� /�✓ /�� l •=�f' T�`�� <br /> —�-- ,�i �< l� /li ��- !r'S <br /> NOTC WIRING IN NON-DWELLINGS IS REDUIRED TO PEE <br /> �[ IN RAC�WAYS, MC OR AC CABLE. <br /> CITY OF EV[RETT LOCAL SALES TAX CODE IS 3105 <br /> 1 h�voby�r��rfi/� fhaf 1 havr rc.�d and exnntined fhis eppLcnhon nnA kno���fhe serne(o be(�ue and <br /> �:nnect !11 p�ovisions nf L��rs and oidinances ilwerninq fhis fypo of work will be cort�plefed <br /> �rhefhw specilied herein o�nol. Thc grnnting o!e parnif Aoes not/vosurne fo give authonty fo <br /> wolatr. ur cancel fhe(novis�ons ol nny othr.r stafe or locel law regu afinc�consf�uction cr flre <br /> p��ifn�nrance ol consfrucfion Thnf 1 nrn nufho�i�eA by Ihe owner o/ihis property fo pc'rlomi fhe <br /> n�o�6 lor n�hich npplicalion is rnndc anA 1 contply with fhc Slate Conh�r,fors Lnw 18.27 RCW and <br /> 29Cr-Z00 lh'AC. <br /> I <br /> � ' ' � _ . i _. , � � . <br /> ..�_.�_�_'s.:._+.--.--'---_–=---- --- � ,,. <br /> swnutiu�• Drde . <br />