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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 /> � <br /> � � �� p � � �� <br /> , ���� r,!,� i , ( � �� �,_, �. ,1 , ,� � � = �_��- c.' ! u �.. <br /> PROJECTADDRESS � / � �,Q� n <br /> D � <br /> /��" .� re ',�� i" c��Jl�� �ii�(�� ;�� ��� � _� �Qc�� I��.�' �/J�I . `i';� !nl <br /> Ownei Mail Addr s City � Stale2ip Phone <br /> ���� <br /> Tenanl Mail Address City State/Zip Phone <br /> �� � � <br /> 9 <br /> �. <br /> ��n�� „i���;l��� -�'�'��nn��� ��YLI�<<���.,� �';n`� ��-� P�' �-l'�,,�,��,,-/ �d/fi' `�dz9Z- �''7�-/ 3� � � <br /> Eleclrical ContraC�or � Mai Address Ciry � State2ip Phone <br /> "t�� � ��2 � l� � I � � ��L) � �i� ��. <br /> State License Number Contract Price of Work <br /> Proposed Usc of Building Contacl Person (Plan Review) <br /> r ` I <br /> Description af Work to Be Done: �-0�11�)!l' ii 1 P�10 ` �4 �'''�'- �N<"1'��`/ / �' � — <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> i <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 he�eby certily fhat I have read and examined this appficafion and knnw the same to be Vue and <br /> cerrecL All prot�isrons o/laws and ordinances governir�g thrs type ol wo�k will be complefed <br /> �vhether spec�Ged herein or noL The granting of a pernut does not presume fo give authonty fo <br /> violate or cancel fhe provisions o/any other stafe or local law regulafing censtruction or the <br /> perfonnance o/conslruction. That 1 am authorized by Ihe ouner o/this property te perlenn tl�e <br /> �vork for�vhich applicafion is made an�l I comply�vifh(he Slale Centractors Lan� 18.27 RCIN and <br /> 296.200 WAC.� � ; <br /> / j � i ' <br /> �� ' ����r�;' �� I ��'�17�(�� �� ��� � ' <br /> Signature . oate <br /> JI � ` — / \(' J <br /> V <br />