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�i - �.-o � <br /> � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98207 <br /> 425-257-8810 - fAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> " l f I �-- �� �'�c.�o (�' <br /> PROJECT ADDRESS <br /> C. C� C ��-�-��r . ?r � (�c.1C���� �Q � C'�'���` a S Zo� ��z��-�� <br /> Owner Mail Address City SlatelZip Phone <br /> . <br /> �l`'�z'"`^" �'^.�y -��L."��- _ <br /> Tenanl Mail Address City State/Zip Phone <br /> � �' i ��c��<< �- ��z��z.�B,�G-�1�_N� . �� � ��L�2-�_�.s�z �. <br /> Eleclrical Contractor hlail Address Qly Slateilip Phone <br /> t� I�(,.� L- �b�7� (� L ?�- o-r' <br /> Stalo License Number Contract Price ol Work <br /> Proposed Use of(�uilding Conlad Person (Plan Review) <br /> p � � <br /> Descriplion a(Work lo Bc Uone: {�'' \C`�� � ��"'�S` �� ``"�� — ` � 4�� <br /> �v"�J• <br /> NOTE: WIRING IN f::1N-DWELIINGS IS REQUIRED TO FEE <br /> BE IN RPGkWAYS, MC OR AC CABLE <br /> 1� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 he�eby certily Ihaf I h�ve reaA nnAcxnn,med this applicafion and hrro�v fhe sarne to be Vue and <br /> correcf. All provis�orrs ollaws and onlinances governmg this type o(wo�k will be contpleted <br /> whefhrr specilieAhmein or not. The,qranfing ol a perrnd Aoes nof �resume fe give aidhority to <br /> violafe oi cancel fhe provisions ol nny ofher sfate or local law rrgul�fing consfrucfion or fhe <br /> pwforniance ol const�ur.fion Thaf I aun aufhorized by Ihe owner o�Ihis property fo perlorm Ihe <br /> wnrk!or n�hicN apphcafion Is made and I comply wifh fhe Stafe Conirartois Law 18 27 RCW anA <br /> 296200 WqC. —-- <br /> --- / ` � <br /> � ---� <br /> 1 L,L�- .= <br /> — - Signatwe Uate <br /> 0 <br /> ,�� f�-!� � <br />