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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERIVIIT SERVICES <br /> 3200 CEDAR STREET. EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-�57•�8857 —www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> / <br /> �Sc I �s��- S�� <br /> PROJECT ADDRESS <br /> / .r,/�?_S— <br /> �� � � � � �,���°'� .S��S-z�- � 7Z` �/ <br /> -:� t di -.�< , � �ie fl- j��-? � :,?Gb�-.�JiG <br /> Otvner Mail Address City Slate/Zip Phone <br /> Tenanl Mail Address City Slale2ip Phona <br /> 1 / / \ / ���>S— <br /> ���•�/�'" Yfn/�/"iJ` a� „ / /%C^/s" 1(.�,�LeL�,/•,. 7C• J ,LYK,.cX'�X�1',! .��/C�� C57 ..5'cr.G <br /> Electrical Contractor Mall Address �City � State/Zip Phone <br /> �/�I��� /�[�.�`/C:: GlGli��/ �l �CG�� <br /> Slate License Number Conlract Prico of Work <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Description o(Work la Bo Done: �� � -� �� C� rF ' �' , '�r�`+ �« � � --�-��� � �`/�'��� /�l�'� SOC�� <br /> �/ . <br /> NOTE: WIRING IN NON-GWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CAaLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> f hereby certily fhat 1 have�ead and exantined this apWlication and kno�v fhe sarr�e fo be frue and i� � 7 2 <br /> correcL All provisions olla�vs and ordinances goverrung this rype ol wo�k will be complefed G•.✓ <br /> whether specdi�d herein ornoL The granfin�of a pernuf does nol resimia fo give authority to <br /> violate nr cancel lhe provisions ol any other stafe or local la�v reguPting consfrucfion or the <br /> perlomisnce.of co)islruction. That 1 aru aufhorized Gy the owner o/this property fo pedonn fhe <br /> wak lor which applicalion is mado and 1 compty�vith Ihe State Contiacrors La�v 18.27 RC W and <br /> 296.200-WAC�/ _ <br /> � � � . <br /> > . <br /> / / '' lv S/J <br /> � �, � �-�i��� <br /> �'`�� Sic�nalure �- Oate <br />