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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 —ww+u.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> '� � � �� ` ��� �. � �( 1 �� 1( � �(�� � <br /> r <br /> PROJECTAD�RESS <br /> �% )L �l�'[( �l l,v _ '�(,�(' -"' I'L/ J7 L'� 1:i I� ��( . (= i, i . i� (c,'�� ` � ���C ."� i <br /> Ovmef <br /> ' Mail Adtlress CitY Slate/Zip Phone <br /> T�� �( /��L�C� ) .�, <br /> �� Mail AAEress Ci1y Slate�Zip Phona ' <br /> , � ' ` �� � <br /> , -� ,,_ _Sl �Us /��r/k �%tC l��` �, `� ✓ <br /> � � C. lf'c"fii��c, L�� - / >>ov S(: �c� <br /> ElecincalCon�faCtof MeilAddress Ciry Slale2ip .�� ���f ��� � <br /> � -) � � i � ��� <br /> ` - L � ( I -�� ���i y ��'�� / � �- �� . �����,,:c� <br /> � <br /> Stat License Number Contract Pnce of Work <br /> l�,�ll� � `��t �, Z�l�_'S�r, � <br /> Proposed Use o�Bwlding Contact Person (Plan Re�iew) <br /> �l, �1. C � �� � L����^ . ���.�� �,-��� /�r y� �, <br /> Descnption ol Work to �e Done � / L� �` ,!� k� �' <br /> �i � ' ' <br /> �(, � � � � I �< <(' ���"i — �(�� / '" /�.��;kl X(� " I�.���;�5 ��, � c� �yiS>7.�,�_ <br /> � i��i( � �` �i��1�� ��/ i� '� �i '� � ( ' �-'7Jir7l <br /> NOTE WIRING IN NON-DWFLLINGS IS REOUIRED TO FEE <br /> B[ IN RACEWAYS. MC OR AC CABLE <br /> CITY OF EVERETT LOCAL SALES TAX COOE IS J705 <br /> - l-1 Q' <br /> 1 horeGy cort�ly Ihal I Iravo re,�d nnd eiaminnd Ihis aPPlication anAknow fhe sama fo be hue and �(���� � <br /> conecf All provisions olla�vs and ordmances govorning Ihis typo of�vork w�ll bo complofod <br /> vrol�fe or cane�el llm trn�v c��nns o(any�o��hCf'SI.OI�nr�locnl l,w re��Pf n9�co�rsMi9cf�n orhll e Y ro <br /> porlorrnanr.e ol consl�uclion That I arn aufhnrrzed by fhe o�vner ol fhrs property fo pedorm fhe <br /> wo�k!or which appl❑:.ihon�s rn:iJr nnd I compty wRh Ihe Stafe Cont�acfors Law 1B;7 RCW and <br /> 296 200 WAC <br /> — sy���:nu��� ----��--- oate <br />