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ELEC7RICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES ��pBo,Z -�a s <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.evereltwa.org ;2 —.'a 1—O� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � � <br /> —� � 1 .� 1� I � �( �,. ��1�Li � <br /> PROJECT ADDRESS <br /> � <br /> _ � ` ' � <br /> Owner ; Mall Address Clly Slale/Zlp Phone <br /> Tenant Mall Address Clty Slale/Zlp Phona <br /> � <br /> � ����)�� �� ' ��. <br /> Eleclflcal Coniraclof Mall Address Clly Stale2lp Phona <br /> Slate Llconsn Numbor Conlrecl Price oI Work <br /> Proposed Use nl Bulldinp Conlact Person (Plan Rovlew) <br /> Descdption ol Work lo Da Dona: , ��.' ' �i. , / �I, �:� �i ' <br /> �dOTE: �1'IRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> C'ITY OF EVERETT LOCAL SALES TN(CODE IS 3105 <br /> I beroby cortily fhal I hevo road enU exerninod Oiis epplicntion end know the semo fo be Iruo anA <br /> curmct. All provisions ollews ertd ortlinancos govommg th�s type ol work wlll be complefed G�Qj O �— I� � <br /> nhefhnr spedGod hoiein or not Tho granting ol a pomuf does nof presume fo glva aufhonty fo <br /> violato or cencel the provlslons ol eny ofher stafe or local law regulatinp consfructlon or fhe <br /> p�3rlom�nnce o/conslnicfion. Thef 1 em euthodzeA 6y the owner ol lhis property fo peAami fhe <br /> worlc for which applicnlion is meUo and 1 compty wifh fhe Sfnfe Confratfors Law 1817 RCW end <br /> 2:)6.200 WAC. <br /> � , � <br /> ��� _� �� /2/ �' <br /> s��„����a _ oa� — <br /> ` <br />