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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-SB57 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />> / �� �- <br />,-; ( �� � �(>� 1 G� ' C- <br />PROJECT ADDRESS <br />� <br />�i <br />'�� `-:; ` ��./r`7 �' � <br />Ownef Mntl AAtl�ess <br />Tr,nant <br />Mail AdAmss <br />CAy <br />City <br />/� <br />s�a�eizip <br />Slate/Zip <br />�� _��-D� <br />� p�/i-o5'% <br />Phone <br />Phonc <br />/� <br />/ � / /(,�� � 7/- / N/� <br />(�i/ � (' !— /N�_�! i� �/ � L/ �r .�'��/�:� �/ �ct( L.-(�„�'�'i �� 7G l�%�i� <br />Flact�ir.al Conlrar.lor Mad AAdress City Slalo/Zip r+ Phonc <br />� �� % ZI } (�v <br />�., �`� 5 ��/���' `�,� � GC;C � C�^� <br />�_l�t� l( _ _ l/ -. <br />State Lir.unse Numh��r C nlracl Price ol Work <br />���— � <br />Prt ��Use o� [3utldin{� <br />�escription o( Wmk �o Be Dono: <br />NOTE WIRING IN NON-DWELLINGS IS REOUIRED TO <br />�E �N RACf_WAYS, h1C OR AC CABLE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 31P5 <br />Conlacl Purson (Pl�n Roviow) <br />���-�I.-� ��Q. ��1�� <br />I hivrhp � rrfJ}� Ih,d I ha� �� rr,W �md a�aarnmi�J ffus nppL��,�hon r�nd kno�v fho snrne fo ho frue nnd <br />� onr.�t All p�o��is��,n,ti nl la�ts ;ind �nJ�n�ina�s yrn�ornmy lhis fype ol worh �sdl be ceniplefed <br />�rhrfher specihed herem �v nnl Thr pianhny ol n perrnrt dues nut nesunre to grv�> aufhonty to <br />v�ulot� or cancel the rvovisions ul any other sfate o� local law regu�ihng consfrucf�on or fhe <br />��eAonnanre of consfruc6on Th.if I am auUionmd by the oK�nei ollhis property fo perform fhe <br />�vork lor �shich applica(ion is n��de and 1 compty �rith Ihe Sfefe Conlractars Lew iQ.27 RCW nnd <br />7!)fi 700 lM1'AC. <br />_ . _ . �.:_. <br />;�,��:v����� <br />� <br />Jl�/2,- 2Cz,�- <br />�,, <br />FEE <br />L— 1 , -i <br />�✓�1���-�-' � <br />