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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STRE�T, EVERETT, WA 98201 <br />425-257-8f31U - FAX 425-257-8857 - www.everettwa.org <br />APPI.ICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM <br />_,�� � ,�, ���� �)� ,,,��, <br />PROJECT ADDRESS <br />_ � ` � � � �-��.�_ ( C � i \' � � l�l��_ <br />Owne� A1ad Address <br />Tenanl <br />FICC�fiC81 <br />M�il AAAress <br />hlail Address <br />�l� ►�i �v��� ��c�` <br />Slate :ir.ense Numbr.r <br />' i c.i�r 1U <br />P o iosu sa af uilding � <br />i <br />Descri �lion ol Work to De Done: <br />������(.�� � ��� <br />I <br />NOTE' W IRING IN NON-DWELLINGS IS REOUIRED TO <br />B[ W RACEWAYS, MC OR AC CA4LE, <br />CITY OF EVERETT LOCAL SALES TAX COOE IS J105 <br />City <br />clly <br />City <br />Stale2ip <br />S�ate2ip <br />� �, 7� a'J <br />CoNrar,t Prict ol Work <br />Contar,l Person (Plen Review) <br />I hr�rrh� ei�rfil� fh,d I hovr r���nd �ind �+xanunnAfhis Flpph� adon ;ind Ano�ti Ihe s;une fo be Irue nnd <br />r�u�iv I All pra��isionc ��l l;n�:s �ind urdulAncRs �overmng Ihis f}pe ol �tnr6 �t dl br complefed <br />u-hefhcr specihed hcrem or nul The grnn6ng uf e pemut does n� I/vesume fo �ive au(hority to <br />violafa rn cnncel fhe I�rovisions o( any ofher sfafe o� local Inw regu afmy const�ucfion or the <br />perfonn��nce o/constnic6on Thaf 1 am authon�ed oy fhe owner ul tha propeity to pei/omi fhe <br />work lor which applicalian is made nnd I carnply wifh Ihe Stefe Conbnclo�s Ln�ti id 27 RCW arrd <br />196.200WAC. _..--_.-- <br />j. � t � ; �__, � - c��� ���'/ <br />FEE <br />Phone <br />Phone li <br />�I <br />� <br />��J�F, � <br />Phonc <br />