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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVEi2ETT PERMIT SERVICES <br /> 3200 CEDAR 4TREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—wvdw,everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> `�v' �J _Cit� , -,v <br /> PROJECT ADDRESS <br /> �- �� ,4' ✓'' ;`__ <br /> OW�Q� hlail Addross <br /> Clly Stale2lp Phone <br /> TOnant Mall Address <br /> /J City �lale2lp Phone <br /> _/_J-r�/1� L <br /> ElodricalCunl�actor ntaiiAddress <br /> Clly Slale/Zip Phone <br /> State Liconse Number <br /> Contract Prico of Work <br /> Proposed Uso ol OullAing Contact Porson (Plan Revtew) <br /> Description of 1Nork to f3n Uonr.: �L� r_r� L_ �', <br /> NOTE: WIRING IN NON-DW[LLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CA�LE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I homby cerli!y Ihof I h�ve�end rmd rs�imined Ihis applica(ion nnd know the samo to bn truo end <br /> ronrcL All provislons ol la�vs end oidinanaes govonnnc�fhls(ypo ol�rork will be comploteA <br /> n�h<�thei specilied herein or not. Tho�ran(inc�ol n pennd does nolp rvsurna ta pive oufhonty fo <br /> �'io/afe o� cuncel fho provisions ol en}�ofher sl�fn�r locellmv reyulMinp cunsf�uction oi fhe <br /> p��/n�nrnnce o/cons(ruction. 17rnf I nrn euthoiized 6y(ho o�vner ol Ihis proporty(o peifomr fha <br /> �soiF lo�-�vfrich applicafion is nmdc nnd I cornply irith fho Slnte Caitrnctors LAw 18.27 RCW end <br /> lf G.700 WAC. _ ,/ _ <br /> (J <br /> _ ,< ,�� !j �C�� <br /> Si��nature - " � <br /> Uatc <br />