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� � � <br /> C��CTRICAL PERMIT APPLIC�TION <br /> (:ITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAft STREET, EVERE'f'i', WA 982;1 <br /> 425-257-8810 - FAX425-257-8857 -www.everet?v:a.org ��a-'�-O� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - �EBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> �j4-�`�.O F�-��D J�ti' �'� • <br /> PROJECT ADDRESS <br /> tiZs 3y7•�;Ec <br /> !�{��; i3�-5 �a�. �.�� ti�� E�,��- � 9�a�S <br /> Owner Mad AdOress Ciq- State2ip Phone <br /> Tenent Nail A:dres, Gty StatelLip Phone <br /> Electrical ConVactor Ma�l Aeeress Ciry StatalZfp Pbone <br /> S:ate LicEnse Number ConVad Price of Work <br /> r,�ti\� �v.ai 5c r - <br /> Proposed 'Jse of Building Contad Person (Plan Review) <br /> Description of Work to Be Done: 1 C M 1P P�- "� `c` <br /> NOTE: WIRING IN NON-DWELLINGS IS REaUIRED TO FEE ; <br /> BE IN R4CEWAYS, MC OR AC CABLE. <br /> � � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ( <br /> 1 he�eby certily fhat 1 have read and examrned this applicatien and kncw the same to be frue and <br /> i r,or.ect. All prowsion, ollaws and ordinances govemmg th�s type c(vicrk wdl be ccmp/eted <br /> .vnether specdied herem or not The granting ol a pe�mrt does net resume to g^ve authonry to <br /> I violate or cancel the provis�ons of any cther state or!oca�iaw reguPtmg constru_nen orthe <br /> IpeAonnance o/constrocfion. That I am authonzed by the owner ol this propeRy to peAorm the <br /> svo�k/or wr.ich app;icaticn is made and I ccmply w�th fhe State Contracicrs Law 18.27 RCW ano <br /> 296.200 W ' <br /> i � ._ Z3 � � �'Q�� I <br /> � awre �ate ��V <br /> I <br /> I <br />