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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT P�RMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT. WA 98201 <br /> 425-257-8810 - FAX :15-257-L'857 - ��aww.everettwa.org <br /> APPLICATiONS ARE ACCEPTED FROM 8 AM TO 4 PM - DE81T& CREDIT CARDS ARE NQT ACCEPTED <br /> � � i�� G�/i� ., /-��f- <br /> PROJECT ADDRESS � <br /> � '.�—� �� � / `�2�' _ <br /> I r} . �� � I .�i l��i-�-7� �l/G'�ti' L / Vl�/( !�,_7'���'� -�'��7-c��3 <br /> Ow er Mall Address City Slate.2ip Phone <br /> TBnant Mail Address City Slale/Zip Phone <br /> V LJ.nP_�� <br /> EleCtrical Conlractor Mail Address City State.'up Phone <br /> State Licensa Number Contract Price of Work <br /> Ch�� <br /> Proposed Us 1 Building ' Coniact Person (Plan Review) <br /> Description of Work ir, Be Done: /�� �_��Z� 1�- (—� ���'c> � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN R4CEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certi)y that I have read and exammed this application and know the same to be true and <br /> correct. A!I piov�sions ef laws and ordinances governmg this p�pe o/work will be completed <br /> whefher specdied heie�n or not The granting oI a permrt dces nct resume fo give authority to <br /> wolate or cancel the provisions ol any other sfate or Ieeal law reguPating construction or rhe <br /> pedormance ol consiruct�on. rhat 1 am authonzed by the owner o/this prepeRy to perlorm the <br /> wnrk�cr which applicalion is made and I compty wrth the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> _, <br /> ��i.ti ,_—,�, .�u.�.,� ,-- 1 zz /o �� <br /> Sigry t re Oate� <br /> / <br /> F�y ii- i3� <br />