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--� <br />ELECTR�CAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-6857 — www.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� � 0 u- v� i' ��-I- U � �--� � �-- <br />PROJECT ADDRESS <br />I,���,11 � << ti, <br />Owner <br />Tenant <br />Eledric.�l Conlractor <br />S�ale License Number <br />L Y� �C k-5S^ <br />Mail Address <br />Proposed Use o( Buildina <br />Idal Address <br />61ai1 Address <br />C� 7 o y �J o �-�- �J ;�; 0., <br />City <br />Cily <br />Cily <br />� �IZ`>) •'`> � ?til�, <br />� V e..� �, l,Ja`� 1Cz � 7 <br />Slale/Zip <br />Slalc2ip <br />SWte.2ip <br />Contract Price of WorY. <br />Conlacl Person (Plan Review) <br />Phone <br />Phone <br />Phene <br />, a a.-+- <br />Descriplion of Work l0 6e Done: �'�� � �� `��� w � �� r' "� ' U� � �`� `"��� `—� �" _ <br />� � �, � �, i � ., � � v � � �. �, ���G�.-�.� �h c <br />NOTE WIRING IN NGN-DWELLIIJGS IS REQUIRED TO <br />DE IN RACEWAYS, MC OR AC CABLE. <br />�ITY OF EV[RETT LOCAL SALES TAX CODE IS 3105 <br />1 he�eby certily Qiat 1 have read and examined fl�is applicaiwn and knoiv fhe sarne !o be trua and <br />corn;cL All provisions o/laivs anAordinances �overnmg fhis tppe o/ work mill Ue complefed <br />n-hefher specrGed herein or noL _Tlie grmifing o! a pemuf does not resume fo givc aufhont}� fo <br />rielafe or cancel fhe provisiortS �oI arYy ofber state orlocallaw reguPting construchon or the <br />peAormance of coti�fruchon. Thaf ! arn aulhonzed by fhe o�rner o! Ihis propert y fo peiform fhe <br />work for which appl ca(i0n is rnaAe and 1 comply rrifh Ilte State Cenfracfors Law 182i RCl1' anA <br />29&200 WAC: , , <br />�%%:� /, � E„/i� � �;' 7� �' � <br />FEE <br />�-�;�� J.��r <br />