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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERE7T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 9Z201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ' � � �� �.> 1 `�� ✓ � �-�-� <br /> ; , <br /> PROJECT ADDRESS <br /> �. /,,, � / <br /> l �' � i , �_ �� � ;' --- ( � ) �n 1 �� -J <br /> _"_�_ -�..= <br /> OWnor 1 Mnil/�AAresS City Slale/[ip Phonn <br /> ---- _._._____ .__-___ ---_-___--___.-__.____. ___--..__— <br /> Ten��ni Id.iil/�dJross ('dy Stale2ip Phono <br /> /� r <br /> �)�` ?J ��)•..J'-� l ���'�T�,c ��' (�'��Z�� �1��(,1�FC�i ���k�D��'7,�1 �+���z�� �;5it� <br /> [loclrlc�l CoNrar,tor Mall Address Cily SlnlolZlp Phune <br /> �" .,- <br /> .. ,�,'. IIr ��Pc::�.�'l� L: ..1 �- — <br /> Slale Llcense Numbor Conlract Prir,e of WorY <br /> Propo;��d Usu ol fluildin�,� Conlact P�rson (Plan Raviaw� -- <br /> [lasrii ilion ollhbrk to (3o L�,n�, . . � .._' ---[ � <br /> � <br /> � � - -.�_ �..�. . .. _. ...''' r - --�-L �-� -- --- ----- ----- - <br /> NOl l WIRING IN NON-DW[LLINGS IS REC]UIRFD TO FEE <br /> f�l IN RACFW/1YS, MC OR AC Cn[3L[. <br /> CITY Of EVERETT LOCAL SALES TAX CODE IS 3105 <br /> ` � �•i �, 1 � � <br /> 1 Irr�rby c�vtil}�fhul I hav��ruud nnJ eenrn�nnd fhis ap{�lii n6on nnd know thn sarne to bo fru��nnd �� <br /> i ono�( �111 prowsions o!l�aivs end onlm;vnccs 9ovcrrrung fhis type o!�5�ork will bo complolAd <br /> nln�fher spni ilicAheicin o�nol. Thc pinnfinp u/n perrriR do�s nof nesurno to�ive uufho�ity ta <br /> ��ndu(a or cancel fhn �rovlslons ol e,ry o0rer sfafo or lo�nl lew repu�nting conshuction or(he <br /> i+oifarrn.incr nl cens�nm(ion. Thtrt I nm aufho�imd by fh�oh�nei o/fhis preperty to pe�form fho <br /> ❑nrti h�� �rhi��h�ipplicafion is made nnAl cornpty�tiifh the Sfnfe Con6acfors L-�n� I A.77 RClS'end <br /> 7yG?00 WAC. � <br /> � <br /> � �, i i <br /> � i� ; L <br /> ,�,m.�n, � i <br /> , 11,�._�------ - <br /> - - �- , �,,, - -- _ ------ -�f � <br />