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� - - <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-5810 - FAX 425-257-8857—wvwv.everetriva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ' 1\ ULy �`c�`'�ve � <br /> I PROJECT ADDRESS i� <br /> `+�a`� 3`�--�c�3�o <br /> �i \\Cl� ��cc� `�� S'E � )2�ti ��'ZC�� <br /> C�1a�\��� Q:-4L��15�- I <br /> n�.vnef TM11al�Address City SWIe2ip Phor.� <br /> , r •i�pp� h1ai1 Adtlrcss Ci1y Slale/Zip Phone <br /> ��as - <br /> h'lh`� Cz��.�.���--,-��-- � �� �v�E,� �� co��c-aoo "�ecl�c�nc\ so�zi ��1� <br /> II Electrical Coniractor AI�tt'Address City StatelZip���`�Phone <br /> ' ��MCOu,��Cqa�C,�-=� � a��8 <br /> State License Nwnber CoNract Price o(Work <br /> � ' A��J��Jv�� ����VJ�� CVl�V��v1_��` � <br /> Proposed Use of Buildinn Contact Person (Plan Review) <br /> ', Desenption ol Wurk to 6c Done�. �� C�C�--S��`���(�\ �� `�\���1 � �\ <br /> � ��c-- I\ `) �� A�-1�1/.�� V �V\� Y ���r �.lV ' �–� <br /> _�—� <br /> � hOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO PEE <br /> � BE IN RACEWAYS, h1C OR AC CA6LE. <br /> I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> � I he:��C}certilv Ihat I I��vr, iead and examined this applicafion and know fhe same to be fn:s and <br /> rruecL All piovisions o/lan�s anA o�dinances governmg Ilus type ol wod��vill be cornplefed <br /> � �rhefher specdied he�eui-�r not. The granfing ol a pennit Aoes naf presume to give aulhonty lo <br /> ' vielafe or cancel fhe prowsions oI mry ofher sfa(e or local law regulaling consfruction or the <br /> II !'m/ormance o/conslruction. Th�it 1 arn aufhurizeAby fhe o�t�ne�o/fhis propehy to perlorrn the <br /> rrorh for�.hich apphcalion is made and 1 comply�t-ith fhe Sfa(e Contracfors Lmv 18.27 RCW and <br /> �:iG200 WAC. <br /> ,�`��f� ��a�'��� _ ' n ,� - uo� <br /> �i Signalure Date / <br />