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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 <br /> >,", i , � <br /> , . •, _ , � `� ��U � <br /> � <br /> � /� � <br /> •� ;,'� `_ ; J�l.,i �v� iJf �i '�`ir' �VC.'`le7� "ut'1 <br /> PROJECT ADDRESS <br /> 7 - � _ <br /> � � � �( ] (� � <br /> ZJIti , � � �. 5 <br /> . '�: � ( . � I.�.' r� ` C�t � 1 V` �� v��` �"C 1� '�V� �(��� ���J�-DYf'� <br /> Owner `� Mail Address City State/Zip Phone <br /> Tenant Mail Address City Slate2ip Phone <br /> �� <br /> ; <br /> � `[ 1 � ' i <br /> Electrical ConUactor Mail Address City State/Zip Phone <br /> State License Number Contract Price of Work <br /> I <br /> �i�"���)� � i �' � �,ii <��: <br /> Proposed Use ol�uiiding Contacl Person (Plan Review) <br /> DescriplionofWorkloBeDone: lc�'� �ir" �li���-`�f- �-+/� �� i� ��y.�'1�'1{� �E�✓�I�iP <br /> _—�� — <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily fhat 1 have read and examined this application and kno�v fhe same to be true and / <br /> correcL All piovisions o/lan�s and ordinances�overnmg this type ol work will6e complefed n� <br /> �vhether speciGed herein or not The granfing of a pernu(does not resume fo give aulhonty fo �� ,�(i <br /> violate or cancel the provisions of any ofher stale or local law re�uPting conslruchon or the <br /> performance o�consfruclion. That I arn aulhonzed by Ihe ou�ner o/fhis propeRy to perlorm fhe (%�� <br /> �vork/or�vhich applicafion is made and 1 cop�ply with Ihe Sfate Confractors Law 18.27 RCW and �.. <br /> 296.200 WAC. � � <br /> / � � � <br /> . � . ' :�. l ;�' �,/��C-`.. i <br /> �SicJna re Date ' <br />