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—f , <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES 31�� � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 7 ` <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org �O$?07�173 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> '� � �� L.�-;�i, ���". <br /> PROJECT ADDRESS <br /> �_�111'�' ���� -f','✓l' — <br /> pwn.M AfailAAJress City Slate/Zip Phonc <br /> Tenant Mail AAJress City SIa1e/Zip Phon� <br /> � �/ l ' / � / <br /> ��/c���/ �)r �"li 7 /— 'F' i• - <br /> � � _ <br /> Uoc�rir,al Conlr:�clor ��� �� I.fail Addmss Cny Slalo�Z�p Phono <br /> S�a�e Licens�� Number CoNracl Price of Work <br /> Proposed Uso o(Buildinq Conlact Person (Plan Review) <br /> (_it� y- < � �7✓ l� �.!/L� v <br /> Descd�dion ol Work to �c Dona 1 � �7 �/L' � <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIR[D TO FEE <br /> BF IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 1105 <br /> 1 h^n�bv rcr6ly fhaf 1 havc a�oJ and exam�ni�J this apphcahun nnd know fhe same fo bo fnie and ��1'b �'�- i 7 3 <br /> ronrd� All�novisions nl l;nvs and oidmances gwernin�j fh�s f��pe ol work wdl be contplefed <br /> �vhethri sprcilicAhrr��in oi noL Thc pr;inf�ng ol a pmmd Joes nof presurno fo give aufhordy to <br /> violnf��oi c.mrel fhe Iin>visions o!any other sfafe or local law requlalinc�conshuclion or fhe <br /> pr�f�irrnanco ol consfiucfion Thaf I�m�ufhoifzed by the owne�ol fhis p�operty to perlonn fhc� <br /> n�nih lor u�hich applicalion is rna�ie and 1 cornply wdh fhe Sfate Confmcfors Law f A.7i RCW and <br /> 29ti 100 lh'AC. <br /> � <br /> �' /� <br /> --- �., ! �� , ����! � �'�/,�' <br /> Sipnatwe � /� - D� <br />