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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 6 AM TO 4 PM <br />i <br />� �. � � � t, I ,- 1 � <br />�_ / <br />PROJECT ADDRESS <br />Tenanl <br />,; i , / <br />l� i � I L <br />Mall Addross <br />Mail Addioss <br />— �I <br />i.r'� �- (�1�1`�t i <br />City <br />Clly <br />s��ie�zin <br />si�iorz�� <br />Phone <br />Phonc <br />n � [�� `� <br />�L' �� �bt/ l�((� %n� _ ;l(,i� �..=<<�'—���1 � ��1�[�1u14���L 1�J,. �1���1f � /7`i%S�� <br />Eledrical Conlrac�or rvtail Addross City Stale2lp Phone <br />�, i <br />,. � <br />/, il i , � �'. �� .1-� �,_'i, <br />State IJcans� Number <br />/�'� � � <br />�. � j � <br />ProposeA Us� ol [3uildiny <br />o�� <br />(,- ` ( �� - <br />Contracl Prir,o of WorF: <br />Conlar,l Pcrson (Plan Rovlow) <br />Descrip6on nl Work lo [3r. Duno�, l. � e-��° ,/z�� '�� =�.1 i.�-�l �.. <�-91.�.1`�i c_���.�. <br />NOTE WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLG. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />I heroby cmiify (haf 1 ha��e rui�d nnd exnminoA fhis npplicnfion �nd know fhe seme fo bo huo end <br />corn?cf. All prowsions ol laws nnd o��finnnces ,qovomu�c� fhis type ol worh will be complefed <br />H�hefher speGlieA horcin oi nof. Tlro prnnfing ol e pennrf Aoes nof �resume lo give eufhonfy to <br />violatc or cnncol fhe /navisions ol nny nfh�r sfafo or locn� low regulafing conshuction or t6e <br />pertonnance o/ constnicfion. Thnf I um eufhorizeAGy ffrA onnar o! Ihis property fo pedomi fho <br />�voih lor whrch applicafion Is nmAo onJ 1 comply trifh fhe Sfata Confrncfors Law /8.27 RCW end <br />296 200 11'AC. <br />. , i , . { , . . <br />FEE <br />_ ^ <br />�"��`? �' /��1`. <br />