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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVECES <br /> 3200 CEDAR STFiEET, EVERETT, WA 98201 <br /> 425-257-8810 - FPX425-257-885? —www•everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> PROJECT ADDRESS <br /> r�,, / I '1 �> � �- �,.�P G° z�5 yZS-3z7-I�( 7 <br /> 1� \ i�L,a c� U�l S�Z��I i�� �� J �. L,� .c V '�'til Jcf� Pl�one <br /> Owner Mail Address <br /> Clly Slate/Zlp <br /> . Ciry State/Zip Phonc <br /> Tenanl �1ail AdCress <br /> Gw�Q� Slale!Zip Phone <br /> Eleclrical Cuntraclor <br /> Mail Address City <br /> Contract Pnce of\NorY, <br /> State License Number <br /> Conlacl Person (Plan Review) <br /> Proposed Use of Duilding <br /> Oescriplion of Worh l0 13e Dunc: _ <br /> �, 14� � - � � � , <br /> � NOl L: BE�IN RACEW Y�S, tv C OR AC CA[i�UIRED TO <br /> FEE <br /> � CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> co�rre ty All�p o�isions o!la�s and o dir ances go ening t��s��t�p�e o!��o�k �e�ill be con pleted ���� <br /> vi'ol�(e or car c�1 fhe r�ro���icr s o!a�ny olhe�r�9fnt aor loc�al I�v reguPf ng cons�rucf en�or the} to <br /> peiformance nl construchon. That I am authonzed b)�fh�o�+'ner o/fhis propetty to peiform fhe <br /> work for�vhicn application is made and I comply�roi(h the Slate Confrc�ctors Law 13.27 RCl1 and <br /> 296.200 WAC.�� <br /> \ ( '� <br /> �➢ �-1�' z I S I �� <br /> �, �� . �, <br /> � ---- — oa�� I <br /> --��,,,,.,����,.�� �a8v a-o I � <br /> -------- <br />