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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 5��g_07 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> [ o �as�r�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �l�'1 c� ��r F C'� /% � <br /> PROJECT ADDRESS <br /> /V��'i�C'.�• C/� ! ,�cl. • . �/�� <br /> OWner Mail Address Gty Stale2ip Phone <br /> f=� ���-� <br /> Tonanl Idail Address Cily 51ate/Zip Phone <br /> ,;� .'s1, �., . / �=i�ii ,< l, � ;-c,} :7rr i�=�,�>h. , c.✓/{ �iJ;�� 3 <br /> Eleclrical Conlractor nnaii Address Ciry S�ate2ip Phone <br /> " ' ' � =1077�if �%S. C'C.'L! <br /> / ;� U;--_ �_ <br /> Slate LicensA Number Contract Price of Work <br /> /<'��' �. . / "�C'�.1 . • <br /> Proposed Use of Buildinc� Contact Person (Plan Review) <br /> Descriplion o(Work to Do Done: �; �t f �� .�r� /� vc/'� S��✓�-� �i= 3 `%C�/ ? -^'.t%-, <br /> � <br /> � ✓�. �'/ � -�v; �� - f/.r c � .r, f :� /'c',.SP G i�, � �.ns — <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. � <br /> � J��, <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 - <br /> /hereby cwii(y thaf 1 have read nnd examined fhis application and know the same to be fruo and � �� �I :;� , l�L/ <br /> correcf. All provisiais ollaws and orc/inances goveming this type ol work will 6e completed l, <br /> whether spec�(ed herein or noL The�ranfing o/a penmt does not presume to�ive authonty to <br /> violafe or cancel ihe pn visions oI any other state w local lan•mgu/efing construcfion or the <br /> pedomiunce ol constru�tion. That 1 arn aufhonzed b}�fhe ownar ol fb�s propeRy fo peAonn fhe <br /> a ork lor which applic��tion is mndo and 1 contply�vifh fhe Sfate Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> ./'��„ l. � . .1. " / i' ,. 7 <br /> SignaWre J Date <br />