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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 .� ` � c�_b � <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> [_ a�a7_//c� <br /> APPLICATIONS ARE ACCEPTED FROM 8 .4M TO 4 PM <br /> � C- Z/ C-�'�-/«�;s ,���..-�, <br /> PROJECT ADDRESS <br /> , <br /> ���"��91`f ��r) F2_ti_,;.� '�(- �( Jr-� (4�5 j����-C cr��ts-'`� f d�,4 C� �� 7 0� — <br /> Owner M1fail Address City Slate2ip Phone <br /> I-�� IY �; <br /> Tenanl Mail Addmss City State2ip Phone <br /> ��c`�L�v _ <br /> Electrical Contraclor Atail AdAress Ciry State2ip Phone <br /> Stale License Number Contrecl Price ot Work <br /> Proposed Use of Building Conlact Person (F�an Review) <br /> Descriplion o(Work lo Be Done: �f�� �'i � u c e -�' , j UY" f L-i / <br /> \ NOTE: W IRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR.�C CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 he�eby certily(hat/have read and ararnined this application and know fhe sante to be Vue and <br /> co�rect. All provisions o//aws nnd oidinances governuig this fype ol�voN��rill6e cornpleted <br /> u�hethei specilied herein or noL The granlin�ol a pernut does nof resnme fo give authority fo <br /> violafe or cancel fhe provisions o/any ofher state or local law ie�uPting consfrucfion or the <br /> perfomiance oI consWc(ion. That 1 am aulhorized bv Ihe owner oI this Nroperiy to pe�form fhe <br /> �vork Ior which applicalion is made and I corn�+ly�vrtli Ihe Stnte Coniractors La�v 18.27 RCW and <br /> 296.200 IM1iAC. <br /> � - !": <br /> .. ' �1 , –� _. . . . � , ._ <br /> — 5ignawre- oate L C.�> Q 7- I/ �' <br /> ,L � � <br />