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<br /> t``, ELE�TRICAL. PEI�N!!T �PPLiCAYION II �
<br /> f ' ` ClTY OF EVEFtETT PERMIT SERVICES i .;
<br /> s 3200 CEDAR STREE i, EVEREl-f, WA 98201 ' i'•'
<br /> � i 425-257-8810 - FAX 425-257-8857 -wv✓w.everettwa.org I i"
<br /> = APPLiCATIONS ARE ACCEPTED FROM S AM TO 4 PM C� ,_� Z -0;�+
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<br /> PROJECT ADDRESS
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<br /> ''�: Owner Ma Address City Stale/Zip Phone �`i�
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<br /> '��,tr,��. Tenant MailAddress City State/Zip Phone
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<br /> . :�,`-' , ��� c� F�1 ec�etr, r,�c '�i � •� 59� G-�,���E l���s �=�A 3�0 69�-�a��
<br />� '.r�.� Electrical Conlraclor Mail Address City Slale/Zip Phone
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<br /> .+�:�. - Stale License Number Conlracl Price of Work j�
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<br /> ) Proposed Use of Building Conlact Person (Plan Review) � , r
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<br /> � � Description nf Woric ta Be Done: / �tt� �c'_a�1 h t� • `�' ��Y�aM,�� �`�f�'J 2.,u,;t- , �
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<br /> r� NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE �
<br /> ��f', BE IN RACEWAYS, MC OR AC CABLE. n
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<br /> �" CITY OF EVERETT LOCAL SALES TAX CODE IS 3105
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<br /> E� ` I hereby certi/y that I haw:read and examined fhis application and know the same to be Vue and
<br /> coriecL All provisions ol laws and ordi��ances gnvemuig Ihis type ol work will be completed
<br /> whether specilied herein or noL The granting of u permR does net resunte(o give aufhonty fo
<br /> violate or cancel ihe`�rovisions of any ofher state orlocallaw reguPating consfruction or the
<br /> perlormance o/construction. That 1 am aufhorized by the owner olthis property to perform the
<br /> �i work lor which applicatio.�is made and 1 cornply�vith the Stafe Contractors Law 18.27 RC W and
<br /> 296.200 WAC.
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