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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �_� z_a7 <br />3200 CEDAR STREET, EVERETT, WA 98201 �/ <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org ��j 7p l-D7 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />� i'. � r' �� /! � -� . ,� <br />Owncr � ntail Address Clly sWle/Zip <br />�,l n] " — <br />Tenant Mail Address <br />i, :l .y,�. �,,.���,, <br />[loctrical Contractor 61ai1 Address <br />Clty <br />i:-_ <br />Clly <br />;itale/Zlp <br />�. � � f _ - <br />SlaleiZlp <br />. v <br />Phone <br />Phone <br />Phone <br />Statn Lii�enso Number Contmr.l Prir,n nl WorY <br />Propnti�•J Us�� ul Ilud�hnq Cunt:ir.� Pnrson (�'lin Rcview) <br />Dascrqdian ol WoiA k� I��, f���rn. � _ ' . <br />NOTE WIRING IN NON-0WELLINGS IS REQUIRED TO <br />�E IN RACEWAYS. MC OR AC CABLE <br />CI7Y OF EVERETT LOCAL SALES TAX COOE IS 9705 <br />I hrmby� a,rtd}� Hral l h.n�e reaAand exnmined fhls applicahon anAkno�v fha ser <br />r�+m�ct All pro�•isions ol lews end ordmanr,es qi�vernmg fhis type ol K�orp will b <br />�rhelher spru6ed herein ornoL The granhng o! Fl pemut does not {vesume fo <br />violah� � n c�vnr,ol fhe I�rovisirnu o! eriy other stnte or locnl law rogulefing consfru <br />��e�forniinrr nl rnnsfruefiar Tbaf 1 ern oufhori7Bd hy fhe owne� o/ fhis property <br />n�ati hn �ihu.N npphcuh��n is rnade anAl.comply wifh fhe Sfate Confractors Lew <br />i'9G 7U0 11�41:. <br />_ _ ,, „ - _ - _ _ _ -li.ne — <br />FEE <br />% _ ,. <br />ne fo be 6ue and <br />e compleied <br />c�ive nufhonfy fo <br />ction or the <br />fo perlonn fhe <br />78.27 RCW end <br />