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r <br />r� <br />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 />�/j� � / /1 <br />{ .�.� Ci / /?!Hi^; h�(" /� 1.��, <br />PROJECT ADDRESS <br />.1:� <br />oW��� <br />;z� <br />Mail Address <br />Ci�y <br />��, <br />Slate/Zip <br />S—I�—O% <br />Gbbbs`'�`1 <br />�Z�r. <br />�so <br />Tenanl Mail Address City Slale/Zip / P,pnc�e <br />L ` � <br />��C"�ITIV� �J �l <br />�=�r�l� iL � �1� �C�� 7(� 1'�� �)e IL:� �Iiv.'il� L.%,`I �d7Zs�� 335=. `i <br />[leclrical CoMfactor Mail Address Ciry StalelZip Phone <br />r�:�, ,��� �Tc .:�zy ��_ i� <br />Slale License Number <br />��11�\I� I Avh���/ <br />Proposed Usc ol ildinr� <br />Descripiion of Work to �e Done: <br />NOTc: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />B[ IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />� <br />.�.31 `�r L�� , �'�� <br />Conlracl Price of Work <br />Conlacl Person (Plan Review) <br />FEE <br />1 heicby certily fhal I have read and examinrJ fhis applicafion anA kno�v fhe same lo be fiue and <br />conect All provisions o�laws and ordinances �overning Ihis fype ol woik will be cornpleted <br />�shether speciLeAherein or noL The gianfing ol a pennd does notl�resume lo give authonty to <br />violafe or cancel fhe piovisions o`any ofher sfate or local laro reyu alin,q construction or (he <br />peAorniance ul cons(rucLon. ihat 1 am authorized by the o�vner o/ this property lo pedonn (he <br />n�ark lor �rhich application is made and 1 comply �riih Ihe S(ate Coniractors Law 18.27 RCW and <br />29ti200 WAC. i . <br />-' 1.�`� <br />.���,�� <br />i� <br />; �_ <br />,_ . <br />