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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SEI�VICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICA'fIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />//��---b � <br />/_-0�1/-0�3 <br />y' J �. <br />C- - � 5.� - �� <br />5,r'_� ;�1 �i/i /l�i� i L ia>9%z �%' C^lrtQ �- i/ ./�'' h' ���.)C� <br />PROJECT ADDRESS � <br />� ,I1�1�ir„��c:��rul��Cccc�l �,Z-��� �c��� i �•l,J� Pv � U�/� ��d� <br />Owner Mail Address City � State/Zip Phone <br />Tenant <br />Mail Addiess <br />Ci�y <br />Stale/Zip <br />Phone <br />^� �:;�� — <br />[Icctrical Conlrar,lor A1ail AdAmss City Sta�e2ip Phone <br />Slale License Numhcr <br />Proposed Usc o( �uildinc� <br />Description ol Work lo Be Done: ���'L �/f�f 1Lf� <br />NOT�: WIRING IN IJON-DW[LLIIJGS IS FG�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />y ccridy Ihaf I'�avc icad and <br />. All piovisions o� laws and c <br />�r specilied herein or noL ih <br />or cancel fhe novisions o/a� <br />�iance o/consfr,icfion. That I <br />Conlrect Price ol Work <br />Conlacl Person (Plan Review) <br />this applicafion and Anou� Ihe sarne fo be Irue �nd <br />yovmning this fype o! u-ork �vill be complefed <br />�l,� pemut Aoes not preswne fo �ive aufhonty fo <br />vM or local /a�v regulahng consiruclion or Ihe <br />i�t,d by fhe otvne� o( this pmperiy fo perform the <br />Iv �rr(h the Sfnfe Contractors La�v 78.27 RCW aad <br />FEE <br />I_� �� -C��1� <br />