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� <br /> ELECTRICAL PERMIT APPLI�ATION <br /> CITY OF EVERETT PFRMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, �VA 98201 <br /> � — — 425-257-6810 - FAX 425-257-8857=www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> C � C/� �.� ' �r � � <br /> PROJECTADDRESS <br /> �_.��� i� �� I �, <br /> Owner � Mail�Adress City Stateilip Phone <br /> Tenent Mail Address City Slale2ip Phone <br /> / <br /> � i11 � i <br /> ` �—�----— —---------- — -- <br /> Eleclriral Conlraclur �.Lm Nldi��s�� Gh SlaleZip Phone <br /> SIeIe lir.unsc Nwnboi Conhacl Pricc o�Work <br /> ProposeA Use ol�uilding Conlact Person (Plan Review) <br /> Dasciip�Ion ul Work �o�o Dono'. <br /> NOTE WIRING IN NON-DWELLINGS IS REOUIRED TO FEE <br /> BE IN RAC[WAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I ho��hy �rrtrly(hart 1 hnv��mnJ rinJ exarnmed fhis,applict�6on end know fhe sarne fo be true[�nd <br /> c��•i�r.l �li p�owsions ol laws and o�dmances governm�fhis lype ol worn wBl be cornplefed <br /> whofhe� specilied herein o� nof. The g�an6nc�o!n pe�nut does not resume to givo aufhority fo <br /> violafe n�cancal fhe Inovisions o!any other sfafe or locnl law re,quPting construcfion or Ihe <br /> p���fo�niance ol construcfinn Thet I nm eufhori7eA by Ihe owner o!fhis property(o peAorrn fhe <br /> �vnrk !o� which ap�licetion�s m�Ae anA 1 comply wiih fhr Sfafe Cnnhectors Lnw 18 27 RC4Y enA <br /> 29Fi.200�C. . � <br /> --.,✓1_�i��i � ^ � %��� � �-=1 <br /> .� L1� <br /> yqn�m�M � Uale <br /> / / <br /> ' i <br /> ` �7US -�u z <br />� - <br />