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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 />�S%� %�,��- ljr. ✓_'✓e�z� <br />PROJECT ADDRESS <br />/��u5 � �n-rd L�J �LC � .('x�X /.�/ 7(0 /)��� �/c'P� (,C/<J %��� ��5-��'/{ <br />Owner Mail Address Ciry Stale/:ip Phone <br />Tenant <br />Mail Address <br />�� „e� <br />IedricalConlractor MaiiAddress <br />Sla�e License Number <br />Proposed Use of Building <br />Square Footage Qf residential new conslrudion, remodel or addition) <br />Descriplion o� Work to De Done: <br />r <br />Cdy <br />Ciiy <br />StatelZip <br />State2ip <br />Contract Price of Work <br />Contact Fersen (Plan Review) <br />Phone <br />Phon=. <br />NOTE' WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />[3E IN RACEWAYS, MC OR AC CABLE. �� U�) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I:roreby certily (hat I have ��ead and ezamined U;is applica(ion and kno�v the same fo Ue fnie and � r� n.` I�. � <br />r,o�mcf All provisions olI nvs anAordinances govemrng this fype cI wo�k �n!I be complefed �.� � i 7 <br />�vlreiher spea(ed hercin ornoL The grmding o/ a pennd does notp resunie to give authon;y to <br />violate or cancel lhe provisions oI any o(her sfafe orlocal la�v mgul:iliny consfnrr.tion orthe <br />per/omiance olconstruclion. Jhat 1 am autho�ized 'uy Ihe ownerol this I��operfy to peAo�m the <br />ivo�k /or wl�ich applicafion is made and I compty e�ifh Ihe Sl�te Contracfors Lmv 78.27 RCW and <br />