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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERFTT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />/���(� -/.���'��C, .Sf' <br />PROJECTADDRESS <br />Tenent <br />Electncal Cordractor <br />�%�(v -_/�� ��% � � <br />Mxd naaress <br />Mall AdAress <br />� (f � <br />��1175 ��SpSS-.5%' C�L�F/�� <br />r MaA Atltlresa <br />S{��,��<<l, � c S �l v <br />Stale License Number <br />� � <br />Proposed Uso of �wlding <br />Descnphon ol Wark to Be Done <br />t <br />NOTE WIRING IN NON-DWELLINGS IS REOUIRED TO <br />BE IN RACEW�YS, MC OR AC CABLE . <br />Clty <br />Gry <br />Slele/Lp <br />Slalel7ip <br />City / Stele2lp <br />� JCi�� � <br />Coniract Pnce o1 Work <br />Contact Person (Plan Rewevi) <br />CITY OF EVERETT LOCAL SALES TA% CODE IS �705 <br />I Iroroby co�h/�' Ihal l hnvo ionAnr.d nxnnunwl thrs npplrcnhon nr�d know fbo somn fo Ao (nio onA <br />conocl All procrsrons ol Inws nnd o�dinnncns gnwmm�q llus fy�a o! wtvk wdl bo �nrnplofotl <br />whatlrm s/wcdrnAlromm or nol The yianfnry ol il (N)Illb( A005 f101 nosumn lo g�w nufhonly fo <br />v�olafa or crurcol fho �rovrsrons o! mry ofhoi slnto oi Icr.•ol Inw mpul.�fmg crNrsfmcfron o� fho <br />porfonnorrco nl cYms'�ucfron Thal l nrn euthonvod by Iho ownoi of fhrs pm(wrl y fo pnAonn flro <br />work (or whrch npplMnlron �s mnAe ��nd 1 cnmpty wrth flro Stnlo Cart�ncfors Lnw 18 27 RCW nrrd <br />?96 ?00 WAC <br />� <br />�. S��.r�,,u[(�-, � -, �' �l <br />_ >a� <br />Phorre <br />Phaw <br />y3s� <br />Phonv <br />FEE —� <br />�_ � .0 �: � J -� <br />