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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ������� <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org �O�j� V�S/� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM / <br /> ���r /��i�, �� U�,� ��a <br /> PROJECT ADDRESS <br /> Owner M14ailAddress Gry SlatelZip Phone <br /> TenaN Mail Address City Slate/Zip Phonc <br /> �fC6"l <br /> I�/'r�c/ ����i�� 1��� �33��.3�7�>//-������/1� ����,,,�r ►�%� ��oi� ������l�i� <br /> Eleclrical Contreclor Mail Address City StatelZip Phone <br /> ����� ���J�T � <br /> Slato Licensc Number Contract Price of Work <br /> /��a���' ��«��k <br /> Propo:rrd Use of Building Conlact Person (Plan Revievr) <br /> Descriplion of Work to Oo Done: 7 .! �yII/�^/A � °/C/I7_ ,T C ! / ���1 / C>�7� �/' 7�7//y� <br /> � �f��r �y�`>�fn/S <br /> NOTE: WIRING IN NGN-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certi(y fha(I have read and examined Ihis applicafion and knmv Ihe same fo be frue and <br /> correct All provisions ollaws and ordinances govemfig this type ol work will be complefed <br /> rehefher speafied herein or noL The�ranthig ol a permd does nof �reswno fo give au0ionty fo <br /> viola!e or cancel fhe p�ovisions of any o!lier sfah er local law re�ulafing conshuclion or fhe <br /> perlormance o(consirucfion � Th�a�JI am aufhonzed by fhe owner o/fhis property fo pedorrn tl�e <br /> work/or which applicafio ' �3d�'nd 1 comply�vifh fhe Stafe Contracfors Law i&.27 RCW and <br /> 29&200 W� / <br /> � �� /�"3�-°' S 7 <br /> SlgnaWre Date �(�� � <br /> . -___ _ ;�ivE <br />_ _ , . ..IPra: ... .. . . . ..... ... . . .. � i . ,� ._:. _. .,.. . . , .. : ,. `S��w,:.. . . s.a��.�ra. <br />