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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT. WA 982.01 � _ a � _�L, <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org -, <br /> = ��c ��y� � ; s <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � ' i, i- L r <br /> PROJECT ADDRESS <br /> r-. <br /> _ �[Y�^C �r1e.1e(n= � �, . "'.�h1 <br /> / � / " <br /> ` � �/C �/ ✓�• '� � � L �I� ' i iP� �-1 , . V! I Z��� <br /> Ownef MailP.ddmss ' Cily State/Zip �aone <br /> �� , <br /> Tenanl htail�ddwss City State/Zip Phone <br /> � - <br /> ��i <br /> Electrical Contracbr� Mail Address Ci�y S1ale/Zip Phone <br /> Slale License Number Conlracl Price of Work <br /> Proposed Use ol Building Conlact Person (Plan Review) <br /> Descriplion ol Work l0 6e Done: � , �� � . L � C •r — u i���(�v= •' r- . _ <br /> � <br /> �,. ,� ( �� , ��-'�� ,� - <br /> - , ��`, .c�. � , � �� �1��, �x ,s L ��� .� 7���� <br /> — � , <br /> ,. , <br /> :�.��� c•, r � <br /> NOTE: WIRING IN tJON-DWELLINGS IS REQUIRED TO FEE � <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily fhat I fiave read and examineA fhis applicntion nnd know fhe same fo be true and E_ L�;C �� �- <br /> co�recL All provisions ollaws and ordinances govemm,q this fype oI work�rill be complefed � �y�% <br /> �}�her;�er speci(ieAherein or noL The granting o(a permit does not �resume fo,qive authorify fo <br /> ��iola(e or cancel fhe provisions o(any other sfafa o�/ocal iaw regulating construcfion or the <br /> peAomiance ol constiucfion. Thaf I am authonzeAGy the owner o(fhis property to perlonn thc <br /> work lor which application is made and 1 compty wifb the State Confractors Latv f 8.27.4ClV anA <br /> 29&200 WAC. <br /> , . . " '`_L---� <br />_ , / � <br /> SighaWre � ' Dale <br /> l___—__ -- -___ . . _—_— _ <br />