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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, Wti 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br /> j� J�) � lt_> ��e�, ,��> �\�-�'-- <br /> PROJECT ADDRESS <br /> � , <br /> �`� � ,� � . , , <br /> Owner "� MailAddress City State/Zip Phone <br /> Tenanl Mail Adtlress City Slate/Zip Phone <br /> �� ,� �1/� l�i�P, �� r ;� �' � �-iir I�1� ��ns.�.i,. �/a l.J/�. �J�l "Jo ,�L�� �fSSl,�SI�/ <br /> �Ieclrical Con�reclor Mail Ac�tlress City State.2ip Phone <br /> ��1�? �.l� f � y �)� ) ��� �1 �E� ,JY�'' <br /> Slale License Number Con�ract Price of Work <br /> Proposed Use o(Buildinc� Con�acl Person (Plan Review) <br /> Dr.scdptianofWorktoBeDono: � /�'.� ��, �� �J," � • � ������ �-�.'���<' �J'j �J —� �%��' <br /> ��'. .G�. -: � � � �J�y,e.l!/ � �i ��7 �i�. i �t✓(� � l� �[/^��1��1 <br /> —T .T�T <br /> NOTE: WIRING IN NON•DWELLINGS IS RE(]UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE � r � _ .� <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> � I herebv r_e�61y thaf!ha�e�ead��nA examrned Uus ,ipplic,i6on and l�now fhe same fu be tnie and <br /> � ,:r�ner,f All pro�os�ons ol la��s and ordinances gwc�nmg fhis type ol work wrll be complefed <br /> wnefher specdied herein or not The grentmg ol a pemuf d�es not resurne fo grve aulhority fo <br /> �roiate or cancel fhe provisions o/any ofher state or local law reguPhng construction or the <br /> p�•rlormnnce ol conslrucfion. That I am aufhonzed by the owner o/this property fo peAorm(he <br /> i �t,;rti l��i whrch app6cation is made and I comply wdh fhe Sfafe Conhactors Law 18.27 RCW and . <br /> ;'S,�f Zap WAC. � <br /> r � 1 � i' <br /> I � � �� � � <br /> . .�t.« , �1 �,•— S��'l�c, �' � <br /> , _ - -- - - <br /> , ;�,,� -, � oa�e <br /> I <br />