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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-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� 13 —� � <br /> ��/(� 1=O%ZC S 7 % s W <br /> PROJECT ADDRESS <br /> L M� `5 NGL`�� <br /> Owne� Mail Address Ciry State/Zip Phone <br /> Tena Mail Address City State/Zip Phone <br /> 3co• ��E.?e9� <br /> PR1M�'�v L��crrzz� 4 c r?G t3ox ��i S Yv�.�.�TsN wn ' 9l�z:y/:?v7i <br /> Electrical Conlractor Mail Address City Slateldp Phone <br /> i'Rzi���i r�l3G� �- ioSo ,_ . <br /> Slate License Num er Conlracl Price o(Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: '�Z��CI��N ���-`W"i7p' — <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> li CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hereby ceAi(y that 1 have read nnd examined this applicalion and know fhe same fo 6e frue and <br /> conect All provis�ons ollaws and ordinances c�ovemmg Ihis type o(�vork�vill be completed <br /> whelher specified herein or noL The g�anting ol a permit does not presume to give aufhonty fo <br /> violate or cancel fhe provisions o(any ofher sfafe orlocal la�v regulafing construcGon or fhe <br /> peAomiance o/construction. Thaf 1 am authonzed by the owner o/this property fo perform fhe O�l <br /> work Ior which applica6on is made and 1 comply wi0i the State Confracturs La�v 48.27 RCW and 1 <br /> 296.200 WAC. � <br /> �/ <br /> - /'-/ '-G w �U,� <br /> Date / �C�7'. <br /> N <br />