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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3100 CEDAR STREET. EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />,; <br />PROJECTADDRESS <br />Owner <br />Tnnanl <br />Eleclnr.al Coniraclor <br />tilalr Lir.r,nsn Numhor <br />I'raposed Usc ol Huildin9 <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />r.t��i ndn�„5, <br />A1ail �dclress <br />hlail AAdress <br />� � �- <br />����- <br />� : /I <br />� . ,( ��_-✓� �����_• <br />Cily <br />Cily <br />Cdy <br />i <br />� : ( i` 7 N 1 <br />Dnscnption ol Work to Du Dune�. �� f� f�.� �/� �L ����_ <br />NOT[ WIRING IN NON-UWELLINGS IS REQUIRED TO <br />nr_ w Rncrwnvs, rac or� nc cno�r_ <br />$�d�CQl�I <br />s�ate2lp <br />si,iN2�� <br />CoNract Price o� Work <br />Con1aG Pcrson (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I h.��rby ,rrld� fhdl l li,nr �r�W uml ra.innnrJllus �ipphr;iLnn nnd knu�r tho sarn� to be Irue nnd <br />� �nrr,-f All pi�n i.v,vrs .d lau�s ��nd <nJm,inrrs qo��i�rn�ny fhis tyPe o( wurk udl b� cenrplofed <br />nh,�fhm spenlicd hrrc,n or not Tho �panfrn�� �il a prrrnd do<�s nol vosunie frr 9n�e aufhonfy- fo <br />u� J;ifH or aincel fhc �rovis�ons ol any ofhor sflfi� or lo�.-al ln�a regu�i(ing cons6uc6on or fho <br />����rfornience ol rons��u;;fion ihtif 1 arn eufhoneed bp tho ownrr o! this Property fo pe;farrn fhe <br />n,�rA lur which appNr.ehan is mede and I cornply wdh the Sfafe ConUnrlo�s Ln�t I8 27 RCW and <br />;'uti 200 WAC <br />_ �j' <br />� <br />�" , , � A. < < ( ` <br />�--�a- �- - - -� ----- -- —� - �-- ----'-- -- <br />ti��in,niu�� Il:,i�� <br />Phone <br />Phono <br />Phonc <br />FcE <br />�'v' �' <br />� �����%��—��% <br />