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ELECTRICAL PERMIT APPLICATION <br /> CITY O� EVERETT PERMIT SERVICES J i� ` �� <br /> 320U CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org [ � � d �_0�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> l� /� I� 7 /�� ,�-�, � >� �'i� <br /> � <br /> PRUJECT ADDRESS <br /> �� � ,�� j� . < <. ��� ,�.� _ �����c/> �' 1 <br /> Owner Mail Address City State2ip Phone <br /> Tenanl Mail Address City StatelZip Phone <br /> � , ? �7 —h �� <br /> � � � /, �� C I"l 1 � %� � � � : .[��I � `cj'� �f,�� �9I <br /> �`leclric I Conlraclor Mail Address Gly State/Zip F.,one _ <br /> {f '1 �i 'icsj <br /> q�' � � ` y (LJ <br /> I �� � �:.� C ..:� <br /> Sl �L�nss Numb� / Contract Price of Work <br /> �7. a <br /> Proposed Use ot Buildinc� Conlact Per on (Plan Review) <br /> Description o(Work to Be Donr. ,1� � � I� �" ��� � • � � �9 �— ��� ` � � � <br /> —'J <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 herehy certily th?t 1 have read and examined this ap/�licafion and know the same fo be true ano <br /> correct. All piavisions o(laws and ordinances c�overnmg this type of work will be complsted <br /> �vhe(her specilien herein or not The granting o/a pennd does not presume fo givg aufhonty to <br /> violate or cancel the provisions o(any olher state or local law rec�ulating consWchon or Iho <br /> performance o/constniction. That 1 am aufhonzed by U�e owner of fhis properly fo perlorm fhe <br /> tvodc lor�vhich applicafion is made and 1 comply wifh fhe Stafe Confractors Law 18.27 RCW and <br /> 296.Z00 INA C. <br /> � : <br /> ; ' ,�� �--� <br /> � � <br /> /.; <br /> ._ �\ _ _ � � .%�% I � _ <br /> — signalure ` . cate � <br /> _ / ����cS- �7p <br />