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� � , , � �� <br /> ; <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 everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �� � I � ' � ��. I �� � I�� - � l �� <br /> i � <br /> PROJECT ADDRESS <br /> � , <br /> � . i <br /> 1 � I � <br /> a � � ��� � 1 �.� f-� �'`� � �. \� �� ;�� i�l �,i�l ���/L �,� � 1 <br /> OWner � - Mad Address City Slate/7iD Phone <br /> 1 .!r �' � <br /> , / '.f' <br /> Y � � ��� l � � �� � <br /> Tenant � Mail AdUmss CIry Slale/Lp Phone <br /> i <br /> r <br /> � . 11 ��_ I ' � . I � . <br /> �1 �i � � ; i "l, '�.�`t � � ' �'� � ~��- j� � , '�� __;.�"� �___'�_L" _ �, � �� �i ��,�-- <br /> i:ledncel CoMrar,for Mail Address Ciry Slale/Zip if hone , _ <br /> � �._ri� � <br /> �_f. <br /> ,, ;i ' � ; •, 1 �� �, i ��'_ i i— <br /> State License Number Contracl Price of Work <br /> - � � � 1� �i'� � l ( ,.,� �, . <br /> � , i <br /> Proposetl Use ol Owlding Contact Person �Plan Reviewl <br /> � <br /> � <br /> Descnp6on o(Work to Be Done � �� ��l �1� �!. � �� I��� �I � � � . <br /> NOTE WIRING IN NON-DWELIINGS IS REQUIRED TO FEE � <br /> BE IN RACEWAYS, MC OR AC CABLE <br /> CITY OF EVERETT LOCAL SALES TA%COOE IS J105 <br /> I heruh y rorhly Iliaf I hovn rr.ad-md e�mnnind fh�s app6cnfrnn anA Anow Ihe same fo ho I�ue and [ �' l l Q '�G � <br /> cnnecf All prov�sions ol laws end nrdmdnr,r.s govemrng fhis(ype ol Wod� Wdl be crompletod <br /> whellrcr spor,�hetl lrnrem or not Tha granturg o!a pnrrrrd doos rrof presunro fo grvo auflroiAy to <br /> vinlale o�cancel fhe provis�ons of any ofhr.r stnfe o�Ic�al law mgulahng mnsfmr,hon or thr. <br /> � poAu�mance ol consfn�chon Thaf I nrn aufha�zeAby fhe ownor ol lhrs propeAy fo pedomr fhe <br /> woik lor whrch app6c�hon�s made anA I rornply�vdh fhe Sfatn Conhncfors Law t8 27 RCW'nnA <br /> 296 200 WAC <br /> i I <br /> I ; <br /> ) � `. -�- <br /> �----nha'nnr�--�� ---- ----��r <br /> i <br /> I <br /> � <br />