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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 3 _��—D�( <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org C o90 3�� <br /> APPLICATfONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> '� .�. C .LY ,� `t <br /> PRO.IECT ADDRESS <br /> i � • � <br /> 1 r-, <br /> c^Yr_:�. '.i �.��L�:,.. t . �'_< "r� `.� / .`> 7� lt i" /,/'`' ` <br /> O�vne� Mail Address Cily State2ip Phone <br /> Tenanl 1.iail Pddress C�ly Slate2p Phone <br /> Electrical Conlraclor Atalt Addiess Cip� Stale2ip Phone <br /> Slale License Number Coniract Price of Work <br /> Proposed Usc of Building Contacl Person (Plan Review) <br /> Description of Work to Be Done: ����1, ,�\�� "`'"L���.. ��� ` "}-i�l i�L �- �/~ ;=L , „ <br /> .. _ , . , --- ��t�/. z',i.�i r �c �. )Z <br /> /�- / <br /> `.- �I — <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. — <br /> ,��� , <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certdy that f have read and examined fhfs appGcoflon and kno�r fhe sartie fo be true and <br /> correcL All provisions ollaws and o�dinances governmg this type ol�vork�rill be cornplefeA - -� - �� � �`'1 <br /> whether speaGed herein or noL The yranfing ol a pernuf Aoes nof presume to give authonty to � '„Ui- <br /> violafe or cancel fhe provisions o/any ofher sfafe or bc�l law regulafir,g consWcGon or fhe ' � � ` <br /> performance o�construc6on. That 1 am aufhorized by the owner o/this properiy to pe�fomi the <br /> work!oi�vhich applicafion is made and 1 compty�vifh the Sfafe Con6actors Law 1827 RCW and <br /> 29&200 WAC. � � <br /> _ � . . i`:. -�, <br /> Sn�nalu�c Dale <br />