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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 � � 7 -'�� <br /> APPLICATIONS ARE ACCEP"fED PROM 8 AM TO 4 PM C � 60�'O 3 <br /> � .. , <br /> � � �) �� ����r,,���Ci.r�('� � I ��� -� <br /> PROJECT ADDRESS <br /> �ZS33�1� <br /> l�C� � J (�'S ' ���.������1 ) �t�� i �l3�o � �9 /'nw �lc' f7c�u�; r�� `���`� I <br /> OWner Mail Address G ! Slate/Zip Phone � <br /> Tenanl Mail Address City Siate2ip Phone <br /> ��v�'k �z-F �I �'YGv )'I L '�L�'� <br /> Eleclrical Conlractor Mail Address Cily Stale2ip Phone <br /> Slale License Number Conlract Price of Work <br /> Proposed Use of Buiiding Conlact Person (Plan Review) <br /> Descriplion o(Work lo Oo Done: � 1 ��1 �� ��l� ��'�r ��� ��O x I i�(.1,�� ��'C ��-fl�� <br /> � � vl l��I.U� u F hc'l;l 1 c___ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> I <br /> CITY OF EVFRETT LOCAL SALES TAX CODE IS 3105 <br /> 1 here6y certily thaf I have read and examined this application and knou�the sarne to be true and <br /> carecL All prov;sions o/laws and orAinances goveming fhis type ol wurk�viU 6e comp/eted f— Q�;.� _v� � <br /> �vhether speci�ed herein or noL The�ranting o(a pennd does nol resmne to gire authonty fo <br /> violafe or cancel lhe provisions o/any other stafe orlocal faw reguPting consfrucfion or the <br /> per/ormance oI constniction. That!am authonzed by the o�vner o/this property fo perfonn fhe <br /> work!or which application is made and 1 comply�+•ith the Stafe Contractors La�v 18.27 RC W and <br /> zss.zoo waG, ? <br /> � , / Q <br /> � ^ � �` I�KIi/-���L ✓ '� 'Up <br /> Si9nalure Dale <br />