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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-2G7-8810 - FAX 425-257-3857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM 'f0 4 PM <br /> .',. <br /> , , , � Ic <br /> PROJECT ADDRESS <br /> �� � � . � �� , �� � <br /> �� <br /> Ownor Mail Address Ciry SlalelZip Phone <br /> Tenenl Mall Address City �tale2lp Phonc <br /> i 7, �. � . ', i ' ; i <br /> � ' .'� 1 l '��, 1 � � �'� �/ ' ;�', � ° ' �� �h r � <br /> � <br /> Eloclrical Conlreclo� hlail Address Cily � Slale/Zip Phona <br /> i ' <br /> Stale Liconso Number Conlracl Pnce of Work <br /> Proposed Use ol�uildin� Conlacl Person (Plan Review) <br /> Do,cription ol Work to Do Dono: � � - � � � � � / � � �. � <br /> NOTL: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE � <br /> BE IN RACE'NAYS,MC OR AC CABL[. <br /> CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 � <br /> 1 hcrrby rertily fhaf I ha<<�mad miAexamined fhis npplicotion and know fhe sama fo bo iruo enA �. I � �'� /��� � <br /> corirr( All provisions o!laws mid orAinanc�s goveum�g fhis f}�p�ol u�ork�ti�ill be complofed <br /> n hrfhr� speciGed hnrein or nut Tho�ranfinp ol a perrmf Aoes nof vesimio fo give nuthority to <br /> �volafe oi cancel fho!�rovisions ol en�olher sfafe oi locallnw re�u�ntinr�consf�uc6on o�fhe <br /> prrlonnren�e o/ca�sl�uclion. Thnf 1 am euthoiized by thu mvner o/Ihis property fo peAomi fho <br /> «�or6!oi u�hich applicafion is maAe mid 1 compty�+�ifh tho State Conf�ncfors Lmv fA.27 RCW anA <br /> 24G i00 IkAC. <br /> l--- <br /> � ' <br /> -- Sipn:duie Dd�e <br />