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ELECTRICAL PERMIT APPLICAi'iON <br />C17Y OF EVERETT PERMIT SE�RVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - vrww.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEB�T 8 CREDIT CARDS ARE NOT ACCEPTED <br />/�/��•..�- .�r/c'�'l if /`��/� L�/.:��/ f�t�%G� <br />PROJECTADDRESS <br />/.'% <br />owner <br />Tenent <br />Eleclncal Contrador <br />Mail Atldress <br />Mail Address <br />Mail Address <br />i" 7'tEi �l D J I��L <br />Stele License Numb r <br />� <br />i <br />� <br />-t' �.n Cd' /1J rl'Ci �`r � <br />Proposed Use of uikling <br />ciry <br />State2ip <br />Stale2ip <br />City � State2ip <br />� �ili <br />_�/ �C�O— <br />Con{rad Price of Work <br />i <br />y..'f� S �%�rt>i," <br />Contad Person (Plan Review) <br />Descriplion of Workto Be Done: /,fGr� i�i'i��<</tU �-/ '�� �1��� ;r�� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC C4BLE. <br />CITY OF EVERETT LOC/�L SALES TAX CO7E IS 3105 <br />� I he26y certily (hat I have read and ezamined f'r�is application and know Ihe same (o be true and <br />� correct. All provisions ollaws and ordinances goveminc� this type o( woA; will be completed <br />whefher specified herein ornot The granting of a pennrt does notp�esume to give authonty to <br />violafe or cancel the Provisions o/any other sfete or local law regulafing consVuction or the <br />.� pedormance o/ construcfion. 7hat 1 em aWionzed by the owner o/ this propeRy to peAorm fhe <br />work lor which application is made and 1 comply with the Sta�e Contractors Law 18.27 RC W and <br />� 296.200 WAC. _ <br />/��( %%/ .�;/ <br />� <br />FEE <br />Phone <br />P one <br />ilY) <br />Phone <br />