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ELECTRICAL P�RMIT APPLICATION <br />CITY OF EVEFtETT PERMIT SERVICES 4�� `� S <br />3200 CEDAR STREET, EVERETT, WA 98201 L� Sd �( —� 3�% <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CAROS ARE NOT ACCEPTED <br />, / � <br />% <br />_ �, ) �C(- �= 1 ' � l �f'!%�r'�' l_ <br />PROJECT ADDRESS <br />OWfICi <br />Tenanl <br />Eler,triczl Contraclor <br />Slata License Numbor <br />Proposec Use o( �uilding <br />R1ail n,bJr^cr <br />fdall Addrecs <br />tilail AdAress <br />Descriplic n ol Work to Ba Done: � <br />( /��_- <br />NOTE: V'IIRING IN NON-DWFLLINGS IS REQUIRED 10 <br />RE IN RACEWAYS, MC (`R AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />Cily <br />City <br />City <br />Slate2ip <br />Slato2ip <br />Slale2ip <br />Coniracl Prico of Work <br />Con�acl Person (Plan Review) <br />I Ireieby ce�}�ly th,�f I hrrve ruud and examineAfhis np(�'ica(ion and know fhe same to be frue and <br />correcL AC p�ovisions of I�ws and orAinances �overning fhis fype o/ �wrk will be completed <br />whe(her sp=cilied herern or nut. The pronfing o/ a perrnrt Aoes not presume fo give authority to <br />viol�te nr cancel fho pravisions oI any othe� sfafr, or loc�llaw re�ulafin� crnshuction or the <br />pr.rfomiance o/ consfrur.fion. 71iuf 1 am nufhoiired by (he ou�ner ol this property to perlorm fhe <br />work !or which applica6on �s niade ��nd I comply �tdh the Sta!e C� nfractors Law 18.27 RCW anA <br />29G20G W,IC <br />/�. ,.�. � � . <br />--- SigiaWre--� <br />FEE <br />1 <br />Phone <br />Phone <br />Phone <br />