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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVER�TT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 (� — �l � D� <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org �O�O / —O// <br />O `1 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� i-� u s-�-. � f�r L�: �f � <br />PROJECT ADDRESS <br />Owner <br />Tenanl <br />A1ail AJdross <br />M17all Address <br />ConlracWr Mall AAd�ess <br />Cily <br />City <br />Slalei7ip <br />Sl,lu/Zip <br />� <br />' �� if Il, �1 ��lti'� S�'�vC� <br />Slalo Licanso Numbcr Contract Prico ol WorY <br />� �� � <br />��J�L iN�ri�' 1 (7�i.. � ���1/V;�. <br />Proposed Usc al 0uildi ,� �� Contact Porson (Plan Rovicw) <br />� / , . 1 <br />Dotii.riplwn ul WurV lu Hr Unn�� _�,� l���� �'�i�% N- �✓�C�_ ' 1 � f l.� <br />NOl"E: WIRING IN NON-DW�LLINGS IS REQUIRED TO <br />C�f IN RACFWAYS. MC OR AC CAE3LE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hmolr} r��rfily fhaf I hnro ronAnnd exnnwird flus upp6� n6on nnd Mnu�r Ure snnm fo be Iruv and <br />conocf �II provisions ollews end orAinnncos q���-orning fhis fppe a( N'Ofk N'III iJ0 CO/II(1I010d <br />�r; mfh��r sperihed he�roin or nof Tho prnn6nc7 i�! n ponnA doas no( ni�surne fo gi��e nu.nonty to <br />��io4�te i�� currcel fh� uevisions ol pny ofher sfnfe ei li�cal le�r mgu�e6np cuns(ruchon or tlrn <br />porionnnncr� ul r.ons�iucfion ihnt 1 arn nufhonz�d b�� (hn o�sner o! (his property to podorm (he <br />�sorF lo� whidi npplicnGun is mede anA 1 complp n�ifh the Sfafe Con6nclors Lnw 18 27 RCW anA <br />29G.200 lM1'A C. <br />'-- �__��J%�r_��,._�- _�,_��-��_ <br />-�— .:�,u�.d�,nu --- naie --�— <br />FEE <br />� ls�rl <br />Phone <br />Phone <br />}•7 � �— <br />J <br />Phonc <br />� � �� <br />�,�. � . <br />/� <br />