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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 />�C� 1�.� �erK�f L �' .ri,�'icAEf- <br />PROJECT ADDRESS <br />/ -J/� // <br />Elio i - a�� <br />?Pll���i�� (u►ti�1 �C`il �i S�l �74�� l_h1 �,1��'�+�- <br />Owne� h7ail Address City State/Zip Phone <br />Tenanl <br />[leclrical Conlraclor <br />��jj1Pl-�-�r7� DS <br />Slalo License Number <br />Proposed Use af Ruildinc� <br />Doscriplion of Work lo �o Done: <br />Afail �ddress <br />hdail Address <br />NOT[: WIRING IN NON-DWELLIPdGS IS REQUIRED TO <br />BE IN RAC�WAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />City <br />Cily <br />SIaIMZip <br />Phonc <br />Statc2ip Phone <br />� �/�77 ° o <br />Contr�Prico of Work <br />Contact Person (Plan Review) <br />I hereb}� ceiiily fhaf I fmve read nnd exnrnineA Ihis application and know fhe same fo be irue �nd <br />conucf. All provisiuns olla�vs and orAii�ancas governine� thrs typo oI n•ork �rill bo comp/efed <br />nl�ether specified herein or noL The c�ranfin� ol a pennd does notl�resume fo give aufhonty to <br />viola(e or cancel fhe provisiau of any ofher sfate or loco! Imv regu nfin� construcfion or the <br />perfonnance o(constnicfion. Thaf 1 am aufhunzed by the o�rner o/Ihis propeiiy fo pedomilhe <br />�vork lor whicli application is rnade,and 1 comply �vilh fho Slafe Coniracfors Law 1827 RCW t+nd <br />29G.200 LNAC. <br />) . � �./..,. <br />FEE <br />.-n <br />-�' �:: � ;� / � %:<< 1�11 � �01I ,� �, - o�� <br />—§�Qoaw�c u�i <br />