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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 I�`16`��'p, <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org �� b l I `�� I <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> , <br /> �C-. �/ `�;i.'r;'i.' �:- <br /> PROJECT ADDRESS <br /> �I:i�`• n . /� , . �i�; �� . � , r ,� j' '/ �7:�.�. y .� • , . y <br /> �-��fl '�/�''; /L� �/ � 1.�/.�il �% / G �� v., /r iC.- 1' -)-';[ - 7>-,' <br /> Owner � % Mail Address Cily Slale/Zip Phone <br /> �://7 <br /> Tenanl � Mail Address Cily StalMZip Phone <br /> ������ <br /> EloClriCal C nlroclor A1ail Addmss City State/Zip Phone <br /> Slate License Number Contract Price ol Work <br /> Proposed Use of Duilding Conlacl Person (Plan Revicw) <br /> � �, <br /> � � ;. �-�/� ��i.�,;1. �,_. r /(�U /i�!p <br /> Descri lion of Wark to Oe Dono: � �� � <br /> NOTE: WIRING IN NON-DW[LIINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. � � <br /> � � S . O C� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hmeby cerii'y fhat I Imve read anAexnrnined this applicnlion nnd knoiv fhe same to be true and e(.�,(\- Lc{�� <br /> correcf. All provisons ollaws and oidinances e�ovemin�fhis type ol work will be complefed <br /> u�hefher spcafied herein or not The granting ol a pennd does nof �resume to give authonty fo <br /> violafe or cancel the`�rovisions o/an}�ofher state o�loca/luiv rec�u�eting cansWcfion or fhe <br /> perlormance of consf�ucfion. Th.rt 1 am nufhorized by the o�vner o/fhis property to padonn fhe <br /> n�ork lor u�hich applicafion is rnade 2nd I comply u�ifh fhe Sfafe Confrac(ors La�t� 18.0 RCbY and <br /> 296.200 INAC. <br /> _�� ��) / '�—�� — G'� <br /> i <br /> Sic�nature . Date <br />