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�.. <br /> l <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERET'� PERMIT SERVICES <br /> 3200 CEDAR STREE'r, EVERETf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM (v —ci '�—G7 <br /> - �o �t�6 -��I� <br /> ,:j;: )�= i��,_� c, i._:= _� <br /> PROJECT ADDRESS <br /> Owner A1ail Address Ciry St2le2ip ?hone <br /> .1.... 1'' /.- <br /> Tenant � Mail Address Ciry 3tate/Zip Phone <br /> � — <br /> � �� <br /> / i, .;.,, lI : .� r � ` (�', � (' <br /> Eleclrical Contraclor � M11ail Address City State2ip Phone <br /> Siale License Numbe� Conlracl Price of WorF; <br /> _r <br /> !-,: <br /> i <br /> Proposed Use of Building �ontacl Person (Plan Review) <br /> Descriplion o(Work lo Oe Donc: i' . - <br />. <br /> NOTE: WIRiNG IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN R,4CEWAYS, MC OR AC CABLE. <br /> i <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hereoy certify that I have read and exantined this applicafion and kno�v the same to be(rue and <br /> co-rocf. A/l p�ovisions of fa�vs and ordinances�oveming this type of a�ork will be complefed <br /> whefher speu(�ed herein or noL The granting o(a pemuf does nof preswno fo give authonty to <br /> violafe or cancel the provisions of any ofher state or local la�v regu/ating consWction ar fhe <br /> ivork lo�wh1 ch a ��I ctat or��is n a�do and�l con���IZP�tIi}the State CentrectorspLaiv 18.27 RClht'and <br /> 296.200 WAC. p� p l <br /> SignaNre Date <br /> �07�6 -U�I 3 <br />