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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�.�C E �,� �I .���;c' �> L <br />PROJECT ADDRESS <br />Owner <br />Tr.nanl <br />Atail Address <br />A1all Address <br />� C /rt j,�'�< _ ` • �f <br />Conlracto� Mall AAdress <br />��1 1K'/�r, �l„ ?�,C <br />Sla�i'enso Numbcr <br />Proposed Usr. of BililAinr� <br />Oescriplion of Work lo �o Dono: <br />NOTE: WIRING IN NOfJ-DW[LLINGS IS REQUIREQ TO <br />BL= IN RACEWAYS, MC OR AC CAF3Lf_. <br />CITY OF EVERFTT LOCAL SALES TAX CODE IS 3105 <br />Cily <br />Clly <br />Clty <br />C <br />Stale/Zip <br />StaleZp <br />Slale/Zip <br />Phone <br />Phono <br />,��� �/ (, 1 <br />� Gc i C� -- <br />Conlracl Prir,o of Work <br />Contacl Person (Plan Review� <br />I he :hy certily fh.il I ha��o rend und exumined flus npplicn(ion iand hno�r fhe samtr fo be 6uo nnd <br />eo� rcl. All pronsions ol la�vs and ordmanc2s 9ocermng fhis typo ol �rurk �till be completed <br />ivhrfhrr specilio-d horein or not. The �rantin� o! a pernuf does nofl�r��surno fo yi��e aufhonty fo <br />violafe or cnncel fhn novisions e! nny ofher slafe or local Inw re�u atin� cans6ucUon cr fho <br />perfonnance o! cons��ucfion. �hnt I mm �tdhorimd by fhe u�snar o/ fhis I�rooerty fo perlonn fho <br />�rork �or which npplicntion is rnado and 1 complY �vilh fhe Sfnfo Con6ncfa:s Lnw f 0.27 RCW mid <br />29B 200 WAC. <br />��I� , <br />� � '1 � 1- / � - � � <br />� <br />_-- - =z - ��- -- ��,�A <br />s����� �i„<<• , <br />F[E <br />�/%��� ����� <br />