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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, V�'A 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEP I'[D FROM 8 AM TO 4 PM <br />if �'/ <br />�` i'� � % , 1 <br />PROJECT ADDRESS <br />/1 / r.� , i.— <br />/'� ilrjF.---`/�i i_ _ �=��_. � --= . f <br />f= <br />Owner P.t:ul Address <br />r���„�,i <br />h1a11 Address <br />j�/���� �J �i c_ E.L _! L L l'TX'/C__ <br />LI4CiriCAl COn�f8C1Ur 1.1dJ Ad!Lrss <br />Slale License Nuntl�cr <br />I�'ropusod Use of Building <br />�- <br />I h�scriplion ol Wnrk to De Donr.: _ I C✓`1 <br />F10TE WIRING IN NON-0lVf_LI_WGS IS REQUIRED 70 <br />RF IN RACFWAYS. A-1C OR AC CA�LE <br />CITY OF EVERETT LOCAL SALES lAX CODE IS 3t05 <br />_ `.i�_-/�. <br />Cny <br />City <br />Cdt <br />I� <br />StalcrZip <br />51ale2ip <br />Staic 2ip <br />b O 7v 7- 07� <br />Contracl Prico of Work <br />Contact Porson (Plan Reviewl <br />I bri��ht ���rp•, fh,�t I h„c,� rr,iJ,inJ ���amin��d fhis npphcFlh�,n �:�d hn�nr the snrn�� fo be fiue and <br />�; nrrl Ali pi,�r�•,�, ms „1 Lin s;mJ ordu�anms go��rrnrng fh�s p'Pe� ol work wdl be cornplefed <br />is�h��lhr+r spi�cdicd hrrcin oi n��l 7he yranf�ng ol n pennrt does nof nesinne fn give Aufhority to <br />nol;�fe oi ranciJ Ihe vuwsinns nf ery olhei slate or lor,nl la�v iegu�nting conshucfior, o� the <br />i�r�/onn�ince ol r.uns�iucbon That 1 arr� authon7ed bp fnr on�ner ol lhrs property fo perlornr flie <br />u or6 /or which ep��6cah�m u mnde and 1 comply tvdh fhe Stafe Coafrnctors �t�H- 18 27 RCW and <br />.'f�ti 200 WAC. - � <br />_; � <br />�._� -� -�--_� <br />"'��--Lr��'- -�'l�. %- /�� ' / — -- <br />'-�=- — <br />Tni�re Uei� <br />� Z (�_� <br />Phone <br />Phonc <br />Phane <br />FEE � <br />