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_ __ - - - <br /> -- <br /> - - --- -- <br /> - - -- -- - - - I <br /> � f I O N '�' <br /> ELECTRIGAL PEP<M!T APPLI�A i <br /> CITY OF EVERETT PERMIT SERVICES I <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 j <br /> 425-257-8810 - FAX 425-257-8857 —v✓ww.everettwa.org I <br /> I�I APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ' <br /> � <br /> I� I�i <br /> I PROJECTP.DDRESS ' <br /> OWnef MailAddress City Slale4ip Phone <br /> II <br /> II Tenanl MailAddress Ciry State�Zip Phone <br /> Elect�ical Conlractor Mail Address � City SlatelZip Phone <br /> � _ � <br /> State License Num6er Coniracl Price of Work <br /> Proposed Use of Building Con(act Person (Plan fteview) <br /> , Square 1=oolage(If residential new consUuclion,remodel or addition) <br /> ' Descriplion of Work to Be Done: - � � ` <br /> _ . . , ., ., . . . . . �. <br /> .. . . . , , ._. - . - <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �� C� <br /> � <br /> ICITY OF' EVERETT LOCAL SALES�A� CODE IS 3105 I <br />, �'. 1 hereby ce�ily tlrat I have read and examined this applicafion and kno�v the same!o be(nie and �I�O� — �' <br /> conect. All provisions olla�vs and ordinances goveming IHrs fype o/woik will be wrnplefed <br /> �vhelher spec�fied herein or noL Tho granhng of a pemut does not resume lo give aufhonty to <br /> violale orcancel fhe provisions ol any otherstate or local/aw roguPting consfruclion or fhe <br /> � peAomiance o/consfruchon. That 1 am aufhorized by the ownerolthis property fo peAomi the <br /> I �vork!or�vhich application is made and 1 compty ridh Iho State Contrac(ors Law 18.27 RCW and <br /> 296.200 WAC. <br /> . . . . � .. �- iJ. . �� _ _ � <br /> � Signature . Dale <br /> I <br />