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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � � �s_ag <br /> 3200 CEDAR STREET, EVERETT, WA 98201 p O/ //Z <br /> 425-257-8810 • FAX 425-257-8857 - www.everettwa.org C- � <br /> APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> l�l� I1 �;�,Y �-��1 -��,��-� - <br /> PROJECTADDRESS <br /> ��,� �-- ll �-1�,���...�`��,�,r,�l-► � 1�,� �n j'a `a����l�� <br /> OWnef A1ail AAdress City Stale�Zip ��1 : 'Y IQP o�')r� <br /> �,� or���J <br /> �' <br /> _�--�11"`j).� — <br /> Ter12n� Mail AdAress Cily Slate2ip Phone <br /> F�'i`��C1r� ,.�l t�a�`t _ -1��..]`T���IS�i�1��-� ��l - ����— <br /> Eleciricat Contraclo� Mad Addiess Ciiy Statel2ip Phone <br /> ,.'� r_ �-� <br /> �C��`',}J( L�— <br /> State Lir,ense Number Contract Pric of Work <br /> 1,�,�����,-�� . - -- <br /> Proposed Use ol�uilding Con�ad Person (Plan Rr,view) <br /> i Descriplion ol Nbrk W Bo�ona: ���1�I �'Y� 3 �-��, I� � �>>--`1 \r�� � ���'-✓ <br /> I �--_ �. — <br /> lr��G�r L���� � � L ���3�.> <br /> � _ _-- __ ._ _-------- ------ <br /> � <br /> �� IJOTE WIRING IN NON-D�VELUNGS IS REQUIRFL TO FEE <br /> BE IN RACEWAYS. �1C OR AC CAE3LE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> i noroLy-cerllly(hat 1 hav��ieaJ and eaurnined fh�s,�pplir.aUon and hno�v the 5��nre fo be frue and <br /> .�:ire�.:! All pro�;sions o/la�ss and ordm��n-cs�70�ernmg this lype o(work wdl be complcled <br /> .tihe(he� sper.ihed herc�m a nof. Tho yreMhn o/e�pernut does nof p�esurne ta give aufhonty to <br /> r�nlnfe or r,nncel fhe piovisions ol r�ny h�� stafe or local law regulatin�consfrucfion a the <br /> per/ormarrce of consfruc(ion. Th��.�a � Niorized by fha owner ol fhis prope�ty fo pe�fonn Ihe <br /> , �vork loi which application is n1�Ae r A cornply wifh fhe Sfafe Confracfors Law 78.27 FCW and <br /> �� 296.200 WAC. <br /> � ___ <br /> ' l- ���__ <br /> � --� - � .� _, <br /> tiinn,�ur„ _ 0.��c <br /> � ��'S�l'l - I I � <br /> L -- —- --- -- — <br />