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ELECTRICAL PERMI i APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 <br />425-257-881U - FAX425-257-8857—www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FRO•'A 8 AM TO 4 PM �`�S,_p (� <br />� � �� �/ <br />i� �d 5 1/( S I/ i�/��t-� <br />PROJECT ADDRESS <br />�=f�� / /'>/�i� <br />0lvnef <br />Tr.nanl <br />[Iectriral Coniractor <br />Slato License Number <br />Proposed Use of �vilding <br />s %,`i-7 � � <br />Afail Address <br />Mail Address <br />n�,�i ned«ss <br />Descriplion ol Work lo [3e Done: ��--' � <br />NOTE: W IRING IN NON-D1V[LLINGS IS REQUIRED TO <br />BE IN RAC[WAYS, t.1C OR AC CE1BLc. <br />CITY Of EVERETT LOCAL SALES TFJC CODE IS 3105 <br />City <br />City <br />Cily <br />Slale/Zip <br />State2ip <br />Stale/Zip <br />Conlract Price o( Work <br />Conlact Person (Plan Review) <br />I hereby certi!}� 1ha( 1 have read and ex�mined this application and hnou� Ihe same to Le Uue and <br />correcL All p��visions ollaws and ordinances guveming this type o/ �rork .rill be completed <br />�rhefher specified herein or noL The granting ol a pennd does not presurne fc give authonf}� fo <br />��iolate or cancel the �rovisions olany other s(afe orlocal loa regulnting consfnictien orthe <br />performance ol cons�n�ction. ihaf / am authonzed by the o�sner ol (h;s properiy fo peifonn fhe <br />work lor �vhich applicnfion is made and I comply n�ith fhe Sfafe Confractors La�v 18,27 RCN'and <br />296.200 WAC. <br />i <br />i� r i <br />� , . _ , / ; -� <br />-- ;�������i����: !_�--- <br />'' /S �C..� <br />7 <br />FEE <br />; L�y` � , �j � <br />Phonc <br />Phonc <br />Phone <br />