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�:_ECTRICAL PERMIT APPLICATION <br /> �!Tl' QF �VERETT �'ERMIT SERVIC�� <br /> 32UC GEDAR STREET, EV[RETT, WA 98201 <br /> 425-257-88 i0 - FAX 425-257-8857 -ww�.v.everettwa.org <br /> P.PPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM • DlBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> •� ,_ � �% � , <br /> PROJECT ADDRESS <br /> , <br /> i ; i �� � i.� " � . <br /> Ll�'--��=- --�-- <br /> OWner 6failAddress � Ciry Slate2ip Phone <br /> Tenanl Mail Address Clty S!alr,lZip Phono II <br /> ; -/ �� � <br /> 1 /�, � ��,�=�--� '-=•� ' -- -----=`-==---- <br /> Flectrlcal ContraGoi � ntui n���tr�ss cny Sia!e�Lp Phone <br /> Slate I.icense Numh��r Cr,�lreid Pnce ot Work - - <br /> Proposod Us�ol�uilAing Contac�Person (PR�n F avicw) <br /> / � � <br /> Description ol Werk lo Be Donr.: _�' . /,%� l ' -� � � � � (y l� ; •%, � • <br /> � <br /> tJOTF WIRMG IN NON-0W[LLINGS IS R[OUIRFD lU FEE <br /> E3F IN f1ACEVVAYS, MC QR AC CABLC-. <br /> i CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerirly flrrrt I havo�cad an 1 exammrd flus applicnhon nn;1 k��ow Ihe s�une fo bp tn�e and <br /> coued. All p�ovisrons ol l�ws nnd orJinnnces govermng fhis t��pe ur wo�k will br cornplefed <br /> whefher speeihqd heroin or noL The 9ranfing o!a pemuf does nol rosurne fo give nuthonty fo <br /> ���olafe or cancol Ihe prov�sions of�7ny ofher sfafe�v l���al la�v�oguPGng conshuc(ion or Ihe <br /> performnncc ol r,onslrur.fion. Thaf I arn autlroni��d hy fhe �nrnw ollhis propertV 10 perfonn fho <br /> wo�k lorµ�hrch��pplica6on is maAe and 1 Comply wdh fhr� SfaR� ConBactors Law I8 27 RCW and <br /> 29fi.200 WAC. <br /> , /� ; / � . <br /> .::.' -� �i . ..- ' : /�,_ ; <br /> � --- <br /> ---'—�--, �9nalure . -'-----'--'---- U Ic / <br /> � � � �� <br /> � ��,, - <br />