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ELECTRICAL PERMIT APPLICATIO�I <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDiT CARDS ARE NOT ACCEPTEC� <br /> .5501 ' � <br /> � � i ,. , <br /> PROJECT ADDRESS <br /> OWner Mail Addmss City Slate/Zip Phone <br /> Tenanl Mail Address Ciy� Stale2ip Phono <br /> � /I- .SP�£ri �o.� .�a.�. �� T �,��,� , /l� �u r � Lt�•c 9 -v v � <br /> Eleclrical Contractor A1ait AAdmss City Slate/Zip Phone <br /> State License Numoer Conlract Prir,e of Work <br /> Proposed Use of 8vilding Conlacl Person (Plan Roview) <br /> Descriplion of Work lo Be Done: G �7 L✓ Ud I�/�(/� ��Ji[ � � ���' !�? <br /> U <br /> NOTE: 1NIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I here6y cerfily(hat 1 have read and examined(his applicafion and know Uie same l0 6e true and <br /> correct. All provisions o/laws and ordnances governmg fhis fype of work will be completed <br /> whefher speabed herein or not. Pie granfing ol a penmt does nof �esume to give authonty(o <br /> violale or cancel the provisions o/any ofher state or local law reguPtin�construcfion or fhe <br /> pedormance o/constnrc(ion. Thaf 1 am authonzed Gylhe owner ol th�s property to peAomi(he <br /> work lnr which application is made and I compty wilh the Sfnfe Contracfors 1mv iF.27 RCW and <br /> 2962G0 WAC. � <br /> /� % <br /> i <br /> I �/ �/� F� � i"rC'�f� S�� (� '��_5 <br /> Signa ure Dale <br /> �G5�5-rzd li <br />