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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - PAX 425-257-8857—www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT 6 CREDIT CARDS ARE NOT ACCEPTED <br /> Ials E .c�s�o Ro . <br /> PROJECT ADDRESS <br /> �iA�� 6�5• 1Nc. 39a�, F���A�.►�►6 EVEaerz tx,q . 9`6u"�6 42S 391-7360 <br /> Ownet Mall Addresa Cily StatelZip Phone <br /> Tenant Mall AdOresa City SfatelLp Phona <br /> �umrnr� E�c-�ze�- (0203 261'�S-� S'TA►�huWD c.� q0a9a H�-aoe-s�s5 <br /> Elecldcal Conlfeclor Mail Addresa City Slete/Zip Phone <br /> Swm�'n� � OWI m� <br /> State Licenae Number ConUart Price af Work <br /> Proposed Uae o(Bullding Conlect Person (Plan Revlew) <br /> DeacripUon of Work to Be Done: �tnA� f C�W rC� <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hareby certi/y fhat 1 have read and examined this epplicatlon and know fhe same fo be frue and <br /> conecf. All provisions ol laws end ordinances goveming fhis fype o/work will 6e completed <br /> whefher speci�ed herein or not. The grenfing ol a permif does notp resume fo give aufhortty to <br /> vialele or can,:el fha provisions ol any other state or local lew repulefing constructlon or the <br /> peAormance o/constructlon. Thaf 1 em eufhonzed by Ihe owner ol fhis propeRy lo peAorm the <br /> work lor which applicafion is made end l comply wifh fhe Sfate Confracfors Law 18.27 RCW and <br /> 296.200 WAC. <br /> � L <br /> aWre Dat <br />