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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES d 41/ - oys <br /> 3200 CEDAR S�RFET, EVERETT, WA 98201 � <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org � � `9.d(! <br /> 7 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> .����� �G 6(/BCfM/Q y4t�c <br /> PROJECT ADDRESS <br /> ���r �Jc ru ,�s i y Gt�vd-c.�a �d Ev�-�; wA 5 y ze i <br /> Owner P.tail AdOress Gly State'Zip Phone <br /> S�t'�Ytl� <br /> TCnaN Mail Adtlress Ciry State/Zip Phone <br /> �nc ��b �,�az 2�.«c. �6 _ , w� ���i <br /> Eleclric�l CoNractor 61a�1 A�oress Ciry SC;b"Zi0 Phone <br /> C RG�L ofG3k �}B[. 6 ��r-g�- a8�z <br /> State License Number Contract Price of Work <br /> R�t7a�r'� EL� CQa�c <br /> ProposeA Use of 13udding Contact Person (Plan Review) <br /> Descriptian af Work lo Be Done: R�LlJL'A'�B �t 1-2 Eil��Sund'° � Ov�L��� p�_ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED 70 FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. � <br /> CITY OF EVFRETT LOCAL SALES TAX CODE IS 3105 <br /> �'. �hernby �:e;idy fhaf I havr iead ano exannned flns apnocafion and knew the same to be true antl <br /> .;r.rrer,L All provivons ot,aws antl ord�nances�uveinmg this type ol�vorY. will be comple(ed <br /> I ,vhether speci6ed rerein cr noL The granhng cl a permd does net presume fo give authonry to I <br /> i ;c;iate or cancel fhe p�ovis�ons ol any ofher sfafe or iocal law regulefinq ronsfruction or fhe <br /> � nertarmance ��cor,srrur.finn. Thaf I am authonze�by fhe owner��this property fo peAn,�m the <br /> ' ��,vcrt Ir,r whrr,n app6cntion is maaa and I comply�vith(he Sfafe C, frac;crs Law 18.2, RCW and <br /> ��� 2Hfi �00 v1'AC. <br /> i ��> <br /> I .�,��..� i'� �<Isl y �� � <br /> b�Jn:il✓r udlP. / <br /> .-� <br /> I � <br /> I <br /> L —_____— — <br />