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ELECTRICAL PERI�IIT ARPLICATION <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 .4RE ACCEPTED FROM 8 AM TO 4 PM <br />�j�� ` f ---- ---% ` ^�j � , , <br />�> �� S L-= <br />PROJECT ADDRESS <br />� /� <br />_ 7\ �' � � ��'y'� � <br />OWncr fdail Atltlress <br />Tmian� Mail AAdress <br />'��„-� � �/r�' 7s/ <br />Flectrical Conlractor Mail Atldress <br />, �, <br />C' l-r1,--�- � � � � r - � <br />Sl;tic Licr.nse Numbcr <br />�1 <br />�`"�--� <br />!:tly <br />Slate/Lp <br />I i �-i �--�7 � <br />� o�li-vd v <br />Phonc <br />Cdy Slale2ip Phoile <br />// /% ��L-D �3�G' <br />f. Q% � �7'4��u���f �(%/� � �.3 -y <br />Clty StaIn.IZip Phnnc <br />���C�� �' <br />Conlrar.l Price ol Work <br />PruposoA Us� ol f3uilding Conlact Person (Plan Reviow) <br />Descriplion ol Work to De Dona �:7��L' . '"� �`� ��� <br />NOTE WIRING IN NOPJ-DW[LLINGS IS REOUIRED TO <br />RE M R�CLWA1'S. A1C OR AC CABLE. <br />FEE <br />CITY OF EV[RETT LOCAL SALES TA% CODE IS 3705 . <br />1 h^rrlq � rrtdV� th.rt 1 h.n r rrdd anJ rxanunrJ fhis .ipphrnf�.�n and pnou� Ih�� sarn�� to bc 6ue and <br />���'���I -CV� r, <br />�.,nr�.l � All pi,�vi.v,,ns nl I�ius ��nd arJmanccs g� �i ��rning fhis fypo nl �rorh n�dl be r.ornpleted <br />�rhrfhta yprrd���d he�ein or not The grrinbn�� ol a pemirt does not uesumo fo givr aulbonfy to <br />crolnf� Sr rAnrnl IhF `�rnvisions ol any, ofhrsr sf o� locnl law rec�ul�fnrg cnnslruc6on or Ihc <br />no�l�nnranrA o! ��anstiuc6on ihr�f I arn au(/i ¢hd by flic owner o/ fhis property fo perfonn the <br />�ru�, Inr �rluCh applic �'on is rn d/nd I. q�- n,fh Ihe State Conlracto�s Law 18 27 RCW nnd <br />7!).�i ;'00 11'A�;. �/ // , � % _ � <br />4 �' �«� <br />,�- �_ __ _- - -- --�1�3 -- <br />�,��n,,�i.���� n.�e� <br />