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ELECTRICAL PEhMIT AP�I.ICATiON <br /> CITY C3F EVERE'tT PERMIT SE�tVICES <br /> 3240 CEDAR STREET, EVERE77, WA 98201 <br /> 425-257-8810 - FAX 425-257-8£l57—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> D..� D'�� V' � �Jr' S� �I�a� �✓�'1���� l,�' � � <br /> PRa�cr Anor�ss <br /> �����i' 2g � � .� � � � / ���� <br /> pyrttef Mai!Addrcsss Ciry 51 � Pfwno <br /> n i <br /> v✓ <br /> TW�attt ^ MailAAtlr�s CitY •._.. StatdLp Phmc <br /> ���,�lsl�1� ��i%�2�.s(�r .�/ �'�����,1���vy�I��2 <br /> Elodriail CentraUor M+rii nddivss Ctty S�talo2ip Phone <br /> P/eGlee ����� � <br /> �fate Lic�+nse Number Conmact Price of Work <br /> �f.� w � e ��� ��i�r o� <br /> Proposed Use of ild Conta Person (Plan Review) <br /> Square Footago(If residential new CORshuction,rnm e1 w addrtion> <br /> Descripuon of Work ro Be Oona. I ' ' "�� <br /> NOTE� WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CP,BL�. <br /> � C �l�� <br /> CffY OF EVERETI'LOCAL 3ALES TN(CO:i�1$310.5 � � �" ��, <br /> �he�eby cartily(hat I Irave,vad ond oxanNn�d Uiis a�Wicetion artd know the semn to De tnte end ; .] �� `•;� / <br /> coned. Al!provisfrns a'laws and adinoncos goveming tl�is lypo of wak will be_canpleted , " ' -� <br /> wfkthor speciliad hem(n a rra`. Tho gronting o/a pomul doos notprusume to yrva autlrmty to `; ,✓� <br /> vidnlo orCAnCeI Ure�rovisions of any othorstple crloc�l fnw rog�lsting crosbucLon or the <br /> �e�romienco or con,trucoan. mat f em auUronzed by the Owner of this proporry to perfarn tire <br /> wmk lor whiGi bpplicabon�s moda Md!cbmplY witl�Ihe Stefe Contradors Law 1 B 27 RCW and �� ' '�, `3 U,J�� <br /> 29s, 00 WAC. <br /> " � I J� <br /> re��� n� <br />