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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVIC�S <br /> 3200 CEDAR STREET, EVERETT, WA 98207 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � ��,�� �� (_ �� � C ��� / )� �, [ � i�� � '< <br /> PROJECT AODRESS <br /> �` L;-� ,� (-�-t' � = r % % � �.� ) <br /> OWnE3f Mail Address Cily SlatelZip Phone <br /> j f r"I ' �/ 1 f<< /,� � ( 1 <br /> TB�enl Mall Address � Ci�y State/Zip Phone <br /> �� �5 �av��,`��i �'l.tcr ��c' l i�ivr;< ;�,-����� ��L, ,���>c � .; ,, �_ . , 5��u�� I <br /> Electrical Coniraclor Mail Address City Stale2ip Phone <br /> 1 :t <br /> i� L � �t� V�c ! ��� 7 �1 �� �S7J _ <br /> Slale Liconse Number Contracl Price o1 Work <br /> 1 <br /> C�G ;1rl •'I - �lJl� �i�� �F'S <br /> Proposod Use ol duilding Contact Person (Plan Roview) <br /> Doscriplion of W ork lo Bo Done: �- (i'I �h-'/��f C�",T ;� ^-' �' /�� / G � �T <br /> NOTE: WIRING IN NON-DWEILINGS IS REOUIRED TO FEE �, <br /> BE IN RACEWAVS, MC OR AC CABLF. <br /> �•/ f <br /> CITY OF EVERETT LOCAL SALES TAl(CODE IS 3105 <br /> 1 heruby certily fhaf 1 hove reaAend exemined fhis epplicetion end know fhe same fo be hue enA <br /> correcL All provisions ol laws and ordinances�ovemm�fhis fype ol�vork will be complefed <br /> whether spec�beA heroin or noL The grenting ol e porrmf doos nof presume to give authonty fo <br /> violnfe or cancel the provisions ol any other stafe or locnl lew regulefin,q consfruc6on or the <br /> peAonnance ol conslrucfion. That I em�uflwrizeAby the ownnr ol flris propeA�to perform the <br /> woik!or which epplication is made and I compty wifh P�e Sfafe Confrectors Lavi 18.27 RCW and <br /> 296 200 WAC. <br /> � ' � — <br /> _ � ,: � � � 1 � <br /> �" , , , -, <br /> � i L�c'L � ��" C : t, ��� i 5 <br /> SiynaWre Data <br /> , ��-. <br /> ;: 'j <br /> � <br />