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ELECTRICAL PE�MIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8610 - FfVC 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�f/ � <br />„LC�} J ' � � � � � I <br />PROJECT ADDRESS <br />Electriwl <br />Mail Address <br />Mail Address <br />i'I �.�.��,� in'� �C`�, _ <br />Slate License Number <br />��'�i 1 � (�' <br />Proposed Use oF � i ding <br />City <br />S�alelZlp <br />State/Zip <br />Phone <br />Phone <br />3 <br />� �i� <br />Contract Price of Work <br />�J3 U't3•.i3aaE <br />i�fi�i_____ � I ��C)Y <br />Conlact Person (Plan Review) <br />Description of Work to Be Done: T'OIJti �Gr? �� 1���� �� �L � r� ��—� ��y <br />NOTE: WIRING IN NON-DWEI_LINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY CF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 horeby certi(y that I havo road and examined fhis applicafion and know Ihe same to be hue and <br />correcf. All provisions ollmss nnd ordinances goveming (his type ol work �vill be compleled <br />whelher speci6ed 6erein or noL The granfing ol a pem�d does not presume (o give aufhonty to <br />violate or cancel Ihe provisions ol any olhor slate or locai law regola6ng consVuc6on or fhe <br />pedormance oI consfrucfion. Thaf I am aufhonzed 6y fho owner o/(his property fo perlorm lhe <br />wo�k lor which applica6on is made and 1 compty �vifh fhe Slato Contractors Law 18.27 RCW and <br />296.200 WAC. <br />�.i <br />�/�./� ��, - � <br />FEE <br />��� �� <br />f��� _p�'� <br />