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ELEC:TRICAL PERMIT AF�P�ICATIOf� <br />CITY QF EVEP.ETT PERMIT S1=RVJCES <br />3200 CEDAP, STREET, EVERETT, W 4 9820'I <br />425-257-8810 - FAX 425-257-8857 — v✓wve.everettwa org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM 70 4 PM - DEBIT 8. CREDIT CARDS ARE NOT ACCEPTED <br />��) 3C i-�(� � � �� � <br />PROJECT ADORESS <br />Owner <br />TFnant <br />Gleclrical Contrac�or <br />Mail Address <br />Mail Address <br />a-C . S l� <br />Mail Address <br />� 1�,�1�U�� I`.��5 S�� <br />State License Number <br />�,c ����� �\r <br />City Slate/Zip <br />_ �,n� � <br />Cily Slate/Zip <br />�� (�City S Ie/Zip <br />, o ��c� <br />C nlract Price of Work <br />Proposed Use of Build�nc� Contact Person (Plan Review) <br />Pnone <br />Phone <br />Phone <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLF. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />FEE <br />I hereby certi/y thaf I have read and examined tliis application and krotv th^ sama fo be (rue and <br />correcL .411 provisions o7laws and ordinar,ces govermng this rype o( ��vork viill be cornpleted <br />�vhether specilied herein or noL The gr �nfing o/ a permd does nol �vesun;e to qive authority fo <br />violate or cancel the provisions olany �'her sfate or locallaw regulating consfri�cfion or the <br />perlormance o( conslrucfion. That 1 an, aulhorized Gy the otvner o/ fhis propeRy !o peAornt the <br />na�k lor which application is made and 1 comply wilh fhe Sfate Contractors Law 18.27 RCW and <br />296.200 WAC. <br />��5-- <br />_, _, _,� <br />--L; � -. �>� <br />