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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES 6_a� _o� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �gob-�5c� <br /> 425-257-8810 - FAX 425-257-8857— www.everettwa.org � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> , � <br /> / ' <br /> � <br /> . i� 1 <br /> ��� , ; � �% a 'J i � �/_��' i <br /> A' lY � � <br /> PROJECT ADDRESS <br /> Owner ldail Address Cily Stale2ip Phone <br /> TCnanl A1ail Address Cily Stale/Zip Phone <br /> Eleclrical Contradur IAad Address City Slato/Zip Phone <br /> Slale Licr.nse Number Conlracl!'rice of Work <br /> Proposed Use o(Building Conlacl Person (Plan Review) <br /> i ' <br /> 7 -, � 7 , ' <br /> Doscriplion of Work to�r pono: � �ti�' �� � 1 ' 1� <br /> NOl"E: WIRING IN NON-DWELLINGS IS REDUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3t05 <br /> 1 hereby certily(hat I have read mid ee�arnined tlus applicntion and knoiv fhe serne fo be true and <br /> correct. All provisions olla�rs and ordrnances governinc�this f}�pe o/work n�ill be complefed <br /> whether speciGed herein or noL The granting of�pernuf does nof presurne fo give aufhordy to <br /> violafe or cancel fhe provisions ol eny other sfate o�local lan�regulafiny consWction or the <br /> �'� Uerfemiance ol const�ucfion. 7ha11 am aufhorized by fhe o�rner o(fhis property to perfomi fhe <br /> '� work Por rvhich applicafion is made and I compl}�with the Sfate Con6actors Luw 1827 RCLN and -�i <br /> 296200 WAC. . - / y ,- <br /> I �_.' <br /> _ _.—___ <br /> Si�na�m� Dnte <br /> � _ <br />