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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIi SERVICES <br />3�•)0 CEDAR STREET, EVEP.[TT, WA 98201 <br />425-257-8d1� - �AX 42�-257-8857 — www.evere�twa.arg <br />APPLICATIONS AkE ACCEPTED FROM B AM TO 4 PM <br />I IC'f� /�� ����I �� I_ LC°���� ll /I �%S,6'J <br />PROJECT ADDRESS <br />�+ � <br />v�/1_l_{_��_��'���� �, �� � _ ��c�f /:(� � !� SF <br />Ownr,r Atail Addicss <br />Tenanl __ _ , �.�d n i,�., ,., <br />ei��,� <br />City <br />- — — — <br />(:ity <br />� <br />, <br />� <br />� . �,.:' . . <br />f.�--_. . _.. __—_____'___.— <br />Glectncal Contraclnr r.t��i ��.� i���>�. �:��, <br />Slale Licensr. Numbr,r <br />, � . <br />��— i � � _) �..-'�.�- <br />Pruposed Usc ol Building ' � <br />1 <br />Descriplion o( Work to Bc Dono: <br />IJOT[ WIRING IN NON-DWELLINGS IS R[QUIRED TO <br />U[ IN FACEWAYS. MC OR AC CAF3LE <br />�c�/I 91��<��� � <br />s��,ie z��, <br />Slale 7.�p <br />St tu2�p <br />��i�_,13�s' y�y 3 <br />f'honc <br />Conlract Pricu of Work <br />Contacl Person (Plan Review) <br />ICITY OF EVER[TT LOCAL SALES TAX CODE IS J105 <br />I hc: obv r.rvGly� (h,rt I heco «��d anA ex�vrrnnod fhrs ;�pphca6on �intl hnrnr thv surne fu be 6ue and <br />�� �.unr�r( All pro���s�� �ns o! l���es anA ordniances gorrmmi� Ihis type ol �vork �vdl be curnpleted <br />��vliolhcr speahed licrent or not. Thc gr�antuip ol a pe�nitl d,,os nof !��c swne fo �ive authonfy (o <br />ciolafn or cancel If,e Inovisions ol �iny ofher sl�ife� iv local Ir�n� rogul,�hng eonstucGon or the <br />perlorm�nce ol cunslrucfion. Thaf 1 arn authonmJ hc fh�� o�rn��r ol fhis p�epert}� fo peAorm fhe <br />�vork lor which applicafion is rnnde anAl complp �tdh Ih,.� Slatc• Cont�aclors Lmv 18.27 RCW enA <br />�, 2�G200 WAC. <br />Sir�nanue <br />FEE <br />'Bonn <br />r'iicn� <br />_ � _)l� C. �,Z <br />3' � <br />� f ' ' <br />