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�_ <br /> ELECTRICAL PERMIT APPLICATION <br /> ClTY' nF 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 <br /> �l >�c Co�-h;�-, ��. ��erP,�l ��,�I <br /> PROJECT ADDHESS <br /> (�z� <br /> u Ke � �1 lr_ '�x-I�i� . -�' ,�'� L � L 2��r-�7 3(� <br /> Ovme� tAad Adi:ess C•.ty S ate2ip Phone <br /> Cn �� �� � Q.�� � <br /> Tenanl t!ad Adtlress Gly StatelLp Phone <br /> ElecinC21 Contraclor h1a:l�Adrois City Stale2ip Phone <br /> State L�nse Number � Contract Pnce o(Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done�. �� U '_� �� 11e� �I�����-�' � '� � - <br /> I <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED T^ FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> !6ereby certily fhaf 1 have read and examineJ this app!,ca6on.n.i know the sarne fo be Vue and <br /> correct. A(1 provis�ons o/laws and ordrnances govennny Ihis type o/�vork�vill be,completed <br /> whefher specilied herein o�not The 9ran6n�o�a permd does nrt msume lo give authonty to <br /> vio/afeorcancelfhe provisionsolanyotherstateorlo;:alla�vreg�iPtmgconsfructionorthe <br /> peAormance M consfruction. That 1 am aulhon�ad by fhe o�rner o(lh�s propedy to pedonn the <br /> work/or wl;icn app;icafion is made and I conmty�vifh the Stafe Contractors Law 1827 RCW and <br /> 296200 WAC. <br /> !) <br /> ���Z�l'���- � 1 - 1�>D <br /> - o.i� " <br /> S�9na Wre <br /> i� <br />