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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��� �7 ��� � � � �_ l , � <br /> PROJECT ADDRESS <br /> , , <br /> �.-�-=.�1���� � <br /> ��-' ��5 ;�v� ir � ��,,,�: iy.2� �, �uE� n�� z✓�-���--- - <br /> O�uvner Mail Address Ciry Statc2ip Phone <br /> �� I`�� <br /> Tenant Mail Address Cily State/Zip Phone <br /> �`�1 � 11�C�1�- �O �i�,� 1��1�1 �oa�Ir:�L��Sr� Wkl ��lA'/ �125��So�7y I <br /> Electrical CoNractor Mail Address Ciry Slate!Zip Phone <br /> �nT�t:�_��-��;fi��� � � ��� � �s� <br /> Slafe License Number Contrecl Price ol Work <br /> - � ���. N�����e,, ? I �l���- <br /> Proposed Use of Buildiny Conlacl Person (Plan Review) <br /> Descriplion ol Work lo Be Done: L �1 �C. � • �� nn�v�L- o� �-�v� � �t�� <br /> �- �� �C`�X�/� - 17�� \ SLQ� i L � <br /> NOTE: WIRING IN NON-DW[LLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC UR AC CADLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 heieby certi(y Ihaf I hnvr_re9d'and examined this applicafion and know the sarne fo be true and <br /> corrccl. All provisions ollayt�S'anAordinances governm�fhis type o/work will be compfeted <br /> whefher specilied herein of roL The granting o�a pernuf does nof resume fo give authonty fo <br /> violale or r,ancel lhe provlsi,ns oI any other state or locallaw reguPting consfruchon or the <br /> per/ormance olconslru�io Thaf 1 ant auUierized by the owner ol fhrs property lo perform the <br /> werk(or which applica�i5ri s rnade mid I comply with fhe Sfate Confroctors Law 18.27 RCW and <br /> 236200 WAi--.----� I <br /> �, � �1 , <br /> ;� - z �, � 5 <br /> �� n31GPe � Date <br /> � <br /> � <br />