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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 PIN <br /> � �. �� ��� �r � . �., � �� '�,•. � ' <br /> PROJECT ADDRESS � <br /> � � � i <br /> � f i :� /� � <br /> Ov.�nur hlail Addmss City SlatclZip Phone <br /> l'enan� G1ail Address Cily StalelZip Phone <br /> � -�� � `/�j <br /> - �_�• f f� ,c`�� . l )� �,� /l�Ca`l�`j c`�-� �� ,t .,- f � ( � :r� '��^;nC��' �"7C� //R� <br /> Eleclrical Coniraclor 1.tai1 Address City Slale2ip Phon^ <br /> � <br /> �'� L i� /,� � ' � ���� � � i _ __ ' __ <br /> Stale License Num6er Contract I'rice of W ork <br /> --. +._�.,".� _ — — <br /> ProposuJ Use o� f3ulldlni,� Contact Persoi� (Plan Revi�w) <br /> ��J <br /> �_ <br /> Descnpdon o(Work lo�e Dunu: ��_ .�. .�-L: ! ) � �'� i�C�C�)�� ���q � ��-�— - <br /> � NOTE: WIRING IN NON�DWELLINGS IS REQUIRFD TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I hr.reb}�cwiily fhaf I Iravo read and exarnineA fhis applicafion and knar the sarne fo be Vue and <br /> correcL All provisians o/laa�s and oretinances govemuiq fhis type ol wark �rill be cornpfeted <br /> whefher speci6ed herein or nof. The granting ol a pennR does nof �resume fo c�ive authorip�fo <br /> viola(e or cancel the provisiens ol any ofher stafe or local lau-�ec�ul�ting wnsVucfion or fhe <br /> pc-rlornrence o/Consir�uction. That 1 arn authoiized bp the o�rner ol this pioperty fo pedorm the <br /> u�ork lor�rhich applicalion is niade and 1 comFdy with fhe State Conf�ac(ors Law 18.27 RCIV mid <br /> 296200 INAC. <br /> i , � <br /> �}� / <br /> , � ����l <br /> _ � � 1 l�'• �^v� _ � �(�IS.�!' r.,I . _ <br /> Sinn:dmc — I)a�o � <br />