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ELECTRICAL PE�2MIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everethNa.org <br /> APPLICATIONS ARE ACCEPTED FROP�I 8 AM TO 4 PM - DEB4T& CREDIT CARDS ARE NOT ACCEPTED <br /> � <br /> �// � �'( i.,� ,_ <br /> PROJECT ADDF:ESS <br /> / I <br /> - =�' � i <br /> Owne� Mail Address City StatefZip Phone <br /> Tenant MailAddress Ciry State/2ip P;��one <br /> Electrical Contractor Mail Address Ciry State/Zip Phone <br /> Slale License Number Contract Price of Work <br /> Proposed Use of 8uilding Contact Person (Plan Review) <br /> i � � . ' � <br /> � -{ <br /> Description of Work to Ba Done: � %�i�i-� i' -� ��% 4��� � 1 ���� ������'� �������`- �-� � <br /> i <br /> � <br /> I ��� y�=��, � <br /> I NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �l�--?'// `' `"`� FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. --, �' " � <br /> I �J �� <br /> ;I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 /� / <br /> I heieby certily that I have�ead and examined this applicaiion and know the same to be true and c� U��, ��~�v.S <br /> r.onect. All provrsicns of laws and ordinances governmg this rype o(work will be completed <br /> � �vhether specilied herein or not. 7he aranfiny of a permd does nct presume fe give authonry to <br /> � violate or cance/the p�ovisions olany other state erlocal law regulaling construction or the <br /> ���� oeAormance ol const�ur,hon. That 1 am authonzed by fhe owner ot this property to perlorm(he <br /> lvak lor which applicajj��'on is rr,ade and/comply with the State Contractors Law 18.27 RCV✓and <br /> 296.200 WAC. / � �,l �7 <br /> i��t� I /fl, !/���9/ ,� / �---- ;`5���/G�- u' `�' —_ <br /> \G �� I \� v <br /> � Signat e , �ate <br /> � � � � <br /> I ' � <br />