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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 /> ��� `�C ��.a . � `.�'�,��-�- � <br /> � <br /> PROJECT ADDRESS <br /> \�� 1 L�' ��1.�'� �1- I Clrl fA� � �,�[� �} Il�l'nl< ��-� <<�I- �'L.i'✓c.� �1.�11 �t M�1� <br /> Owner Mail Address Cily State/Zip Phone <br /> Tenant Mail Address Ciry S�ate2ip Phone <br /> �-.c,�,� Ge.,`�� r '- � i 1 LL m �t�i /�{� (.vl� � /�S I '-���" $�38 <br /> Electrical Coniraclor Mail Address Ciry Staie2ip Phone <br /> C c��c�� � =_�s-�—� i�C'1 <br /> Stale License Number Contract Price af Work <br /> � c �e��� /s��L �'.�,�,r� - <br /> Proposed Use ot Building Conlact Person (Plan Review) <br /> Descriplion o(Work to 6e Done: AG�u� �lel U� rivAc/e / ��i `1 �Wo!/t� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> 8E IN RACEWAYS, h4C OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ce�tily(hat 1 have read and examined fhis application mid kno�v the same t. h:true and ��,G����- ��:�� <br /> correcf. All pravisions olla�vs and ordinances govenunc�this type ol�vork�rill be comple!ed C <br /> whether specified herein or noL The granting ol a pernut does nof resume(o give authonty fo <br /> violate or cancel the provi ions oI any other stafe or local law reguPting constnichon or(he <br /> perionnance o/const�ucU n. TI �f 1 am authorized by fhe o�wier o(this property to pc-rlonn the <br /> work/or whic i ap�i �tio is ma a and 1 cornpty�vith fhe Sfate Confractors Law 18.27 RClNand <br /> 29'�200 WA�. / <br /> � �I � �� <br /> � Q - - O <br /> �" Slgnat [C� �"� / Date <br />