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EL�CTRdCAL PERMIT APPLICAiION <br />CITY OF �VERETT PERNIIT SERVICES <br />3200 CEDAR STREET, tVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� ' ii f `�1a l 1 <br />`-��—.�a-r�,� �I�V�P <br />PF20JECT ADDRESS <br />Mail Atldress <br />1 <br />City <br />� <br />State/Zip <br />Phone <br />l�enant � / Mail Address _� � City StatelZip Phone <br />.�-r� c <br />.�sS=� i�v i�Pr�r"; c .21.QL1_�,� i��i�� s� ���1( �.%/� .9�Ji/ <br />,:� <br />� fi I Conlraclo� Mail Address Cily Slate/Zip Phone <br />� � �1/1%I <br />, . � <br />Stale Licen e Num er <br />,l i.l� <br />Q , � <br />Proposed Use of Building <br />� i/ <br />Descriplion of Work to Be Done: �,� <br />.��� <br />'�-�- <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES ".X CODE IS 3105 <br />1 hereby cert <br />correcL All F <br />whelher spei <br />violatr �rcai <br />peAonnance <br />�vork lcr whi <br />?_ 9G.200 l� <br />�� <br />Contract Price of Work <br />ConlactPerson (Plan Review) <br />: � <br />read and eramined this application and know the same to be true and <br />vws and ordinances goverrung this type o( work will be completed <br />r noL The c�ranting ol a permit does nol resume to give aufhonty fo <br />rior :.�! any other state or local laiv reguPtin� construchon or the <br />rc '`� ,at I am authorized by the owner ol this property to peAorm the <br />i� ;� ;:�<• :rnd 1 r.ompty wifh the Stafe Contracbrs Law 18.27 RCW and <br />(�.�1/, �L' <br />Da(e <br />FEE <br />