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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��J � � �} -�r� St s � ���p � �I <br />PROJI:CT ADDRESS <br />��UVU1 <br />Owner <br />Tenent <br />Eleclricel Conlraclor <br />�f <br />Mall Addross <br />Mail Addiess <br />Mail Addrass <br />Stale Liconso Number <br />�=\ ��ll',� I ��— - <br />Propos�d Usa of Building <br />Descdpllon ol Work la Do Dono: <br />,-iC �1("j <br />aS <br />Clly <br />Clly <br />Cily <br />�j �Z�i�' <br />lav V � �lS <br />State/Zlp <br />Stale2lp <br />Stale/11p <br />Conlrecl Prlce ol Work <br />���� � �� <br />Contncl Person (Plan Revlew) <br />Phone <br />Phone <br />Phone <br />-- Gi Dk.{�n <br />NOTE: WIRING IN NON-DWEILINGS IS RE�UIRE� TO FEE <br />BE IN RACEWAYS, MC OR AC CA[3LE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />1 he�oby cortily Ihuf 1 havo iood nnAexamin�Afhis np�)licnfion ond know the snmo fo be fruo and <br />corrocf. All provfslons ol lnws and ordinnnca�s yo��omm,y fhis type ol Hvrk will be complefed <br />whefher spec�lmd horeln or not Thu grnnfing ol n porrnd does nof irosume fo glve euthonty fo <br />violafo or r,ancol thn Irrovlsions o/ nny olher sfnfu or locnl lmv reguleting consfn�cfion or Iho <br />po�formanco ol construcl/on. That 1 nrn nuthoiizaA by fho o�vner o/ fhis property to pe�fonn fhe ' <br />work lor whlch eppNcnfion !s mndo mid 1 comply �vilh fho Sfafo Confracfers Lew 18.27 RCW and � <br />296.200 WAC. / n / (� ' I � <br />✓ <br />'1 � <br />/ Z - (� � <br />I �i �r�" c� �.�--�� <br />---- �I�i�, i� Uala <br />