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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.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DE81T 8 CREDIT CARDS ARE NOT ACCEPTED <br />���� i ,-.r . 3i- - �.� <br />.��� °�) �� j L._1 _ .��CL r� ._�G— <br />PROJECT ADDRESS <br />�- � ` �•_� e� �� .� rf��� _ � �� . < 1��.,. ` �•�n ���`I-�a���, <br />Owner Mad Adaress City StatelZip Phone <br />Tenant <br />Matl Address <br />f IP.Cffical COn�faCfof Mall Addre55 <br />--�/ 79�/ ` /. <br />S� ate LicPnse Num6er <br />Proposed Use o( Bwidiny <br />Description o( Wark to Be Done: <br />Ciry <br />Y�.� )� `.i,` l�1., t, <br />City <br />NOTE: WIRING IN NON-OWELLINGS IS RECUIRED TO <br />BE IN RACEINAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Slale/Zip <br />Stale/Zip <br />Conlract Pnce of Work <br />Contact Person (Plan Review) <br />1 herebvi certrh� lhaf : ha-�B read .inc] exarrutt?tl lhis epplicat�on dnd knU�ti� 6 e same (o be Vue and <br />correcf AI! prawmans al laws ann orninances goveminy fhis type o/ wora �vtll Ge completetl <br />wnefher spec�lied herein oi noL rhe grant�ng ol a permrt does no( presu na fc give aufhonty fo <br />vraate or cance� fhe piovis�ons ol any orher sfare or local law regulahn� construcfien or the <br />perl,;rmance ol consvuction Tb I am aufhonzed by fhe owne� o/ this p�operty tc pertorm (he <br />.. �-� •�- :-n�ch app6cation rs m8 and I ccmply wRh tha Slate C�ntracfors Law tB 27 RCW antl <br />. �.r'l1'A� � � <br />,. / ///�f�i _.t //�� /� <br />� <br />FEE <br />�• <br />�� , -- <br />Phone <br />Phone <br />