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ELECTRI�t�L PERMIT APPLICATION <br />CITY OF EVERE7'T 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 - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />J00 SC- �'ide re-�--� ►'Y 1C�I l 11�0 :,l <br />PROJECTADDRESS <br />Owner <br />1Aail Addrtiss <br />Mail Address <br />City <br />City <br />Stale2ip <br />SlatelLp <br />Phone <br />Phare <br />�-i I( i Y' c.� .Sc�.,�'-� •�- U �1.�.�-! 5�t� I'-E� Y-1 tr� S� SEct-(�l-(. r, li'ufl �181 C� �cG� ��`7 -� _`.Y �c� <br />2leclriCalConlfaClof MailAddress City SWle2ip PFwne <br />f-1 LLz t;:�U��`�5F3�3 <br />State License Number <br />Proposed Use of Building <br />Description of Work lo Be Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIR°D TO <br />SE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />������.�� <br />Contracl Price of Work <br />Contact Person (Plan Review) <br />1 here6y cerlily that 1 have mad nnd examined this applicafion and know the same fo be true and <br />conecr. All provisions of latvs and ordinances goveming tliis type ol work wi116e comp/eted <br />whefherspeci�2d herein ornot. The yranfing of a perm;t does not presume to give aufhority to <br />violate or cancel fhe provisions of any other sfate or local law regulaling construction or fhe <br />pedormance o(construcfion. That I am authonzed by fhe owner olthis propedy fo perfam fhe <br />work for �rhrch applrcafion is made and 1 comply with fhe State Contracfors Law 18.27 RCW and <br />296.200 WAC. <br />FEE <br />�� <br />