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� . <br /> 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 /> (`�C�I£��Y`� <br /> PROJECTADDRESS <br /> �� � � ��� ����n� � � <br /> OwnCr ldailAdAress City Slale/Lp Vhone <br /> Tenant fdail AdqrCss Ctly SlalelZip Pt � <br /> ��,��l�.�l�� I�.A����i�nU�� �,S�v��S�-L -z <br /> Elecin I ConVaGlOr MaA AAclless Gry StaIMLp Phone <br /> �IL�`�' '1 — ��1�� _ __. <br /> ta e License Number Contract Pnce ol Wak <br /> �� `� � � �— <br /> Proposed Use of BwiAing Contac�Person �Plan Reviewl <br /> Descnption of Work tu 6c Dane ����� r�11l / �� __— <br /> NOTE WIRING IN NON�DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS. A9C OR AC CABLE <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> �herebv�'artAy lhof I havo roaJ�and otammod fhis apphcaf�on 3nd know fhe same fo be Vuo and <br /> coner,( All prov�swns ollaws and ordurancr�s governing fhis fypo o/�voik�sdl Go complefcd <br /> wfrolho� spocdied Imrom or nof The gra�ihng ol a pernut Aoos�wf �resumn fo grve aullronty fo <br /> v�olate or cancel Ihe/;rovisions ol any o(Oer sfafe or local lnw rogul.�hny conshoc0on or fhe <br /> porlormanco ol%onsfrucfion Thal I anr aulhonzed Uy the owner ol this p�operty tn pe�fonn fhe <br /> work lor wlur.h app6cati rnado and I corrrply wdlr fhn Slafo Confracfois Law 18?7 r7CW ond <br /> 296 200 WAC <br /> -- �yna me � Date l�� ' ��, <br /> i <br />