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<br /> u�': ELE�TRICAL PERMII' APPLIC;ATION
<br /> �, �ITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT, WA 987_01 S � � � D).�'
<br /> 425-257-8810 - FAX 425-257-8857–www.everettwa.org
<br /> `'' APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT &CREDIT CARDS ARE NO"i ACCEPTED
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<br /> FROJECT ADDRESS �
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<br /> � " � Tenant Mail Address City StatelZip Phone f�i
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<br /> Electrica�Conlraclor Mail Address Ciry Slale/Zip Phone
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<br /> State License Number Contrect Price of Work �
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<br /> � Proposed Use of Building Conlact Person (Plan Review) '
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<br /> Descriplion of WorN,to Be Done: _ ��� � /�� U�� �� "<- � �" ��
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<br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE ,,, .
<br /> BE IN RACEWAYS, MC OR AC CABLE. /� � i
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<br /> CITY dF[VERETT LOCAL SALES TAX CODE IS 3105 r*� �
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<br /> i 1 hereby certily Ihat I have read and examined fhis application and kno�v the same to be t�ue and
<br /> conecL .411 provisions o(laws and ordinances governing ihis type el work will be completed Y '�-'
<br /> � whefher specilied herein or noL The granting o/a permd does not rasume to give authorRy to �� �
<br /> ( violate or cancel the p�ov�sicns o�any other sfate or local law reguPting consfrucfion or the �' �
<br /> pedormance ol construc6on. Thaf 1 am authorized by the owner o!this property to perform fhe � �
<br /> ` work�or which application is rnade and 1 comply wilh fhe State Contractors La�v 18.27 RCW and �
<br /> I 296.200�Lt�AC.
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