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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3.'00 CEDAR STREET, EVERETT, WA 98201 �_�q _ p� <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org C D 80 0-U� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��. <br />.�Y�;� � r _s�� <br />PROJECT A RESS <br />�� ��� "r���k� �-� <br />OWnCr ldad 4dAress <br />Ten,tnl <br />[Icclrical Ccnlrar.tur <br />A1nil lddre��s <br />hlall Addross <br />c C ✓c��:- <br />City <br />`fi`��� C l � / `� �%�_ <br />St. le Lir,en=c urrber <br />Proposed Usc ol Bwldin� <br />Phone <br />City Slalr2ip Phonc <br />3�s•� �g�i33 <br />_�fi�U1. �.,,.i_ , , .n co-,�.. <br />ciry � s�,�e2�n ri,om, <br />� v <br />Conlra t Prico 01 Work <br />Contact Person (Plan Review) <br />Description of VJorh lo Oc Dono: ,�� "� � i C U I � t �� C�� "� � 1� C <br />NOTL WIRING IN NON-DW[LLINGS IS REQUIRED TO <br />[3[ IN RACEWAYS, MC OR AC CA[3LE. <br />CITY OF [VEREIT LOCAL SALES TAX CODE IS 3105 <br />FEE <br />I hen�by� �ortil; (haf I fia��c reaA nm' esnrnined this apPlicr�hon �nd hno�r Oie santo (o bc 6ue and <br />r-unuct. All prori.ions u! I ws nnd oidin;�nces yorernmp Ihis 1}�pe o! worh �ri4 be complefed <br />��l�efher spr.c�heAhereir� o� noL rhe pranfuin ol e pennd dues nol /�resurn^ to give aufhonfy fo <br />� iulnfe or cancel Ihe Iirovi inns ol any ofher slafe or local la�r ropul�lurp co05truction or fhe <br />peAormnace o! consfrucfi n Thnt 1 arn eufho�ized by Ihe ownerro! this prqmrty to pe�f nn (ho <br />nv�l; !or which application �s mado anJ 1 comply �rilf)1hc� SL�te Con6nctor! Law 18.27 CW <�d <br />7gG 700 WAC. z � � <br />� � �� - � � �"� � `� <br />� - �J` cJ <br />�___. _ _ �, _= � <br />s�u�i <br />