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� � <br /> ELECTRICAL PEF?MIT APF'LICATlON <br /> CITY aF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREE�, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-5:57-8857 -www.evr;rettwa.org <br /> APPLIrpTIONs ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �; , <br /> ��-lI" r�C:-jt,'�' cc���.>��,�- <br /> PROJFCT ADDRESS, <br /> 2 � ��`P <br /> � , �j7, � <br /> L- <br /> Owner Mail Address City State2ip Phnne <br /> Tenanl Mail Address City SlalelZip Phone <br /> Electrical Conlraclor Mail Adtlress Cily Slate/Zip Phone <br /> Slate License Number Conlract Price of Work <br /> Proposed Use of Building Conlacl Person (Plan Review) <br /> Descriplion o(Work lo Be Done: _ <br /> NOTE: VvIRING IN NON-DWELLINGS IS REQUIRED TU FFE <br /> BE IN R4CEWAYS, MC OR AC CABLE. <br /> j ! <br /> I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I nereby certily that I have�ead and examinod fhis applicafion and know the same to 6e true and <br /> correcL All provisions olla�vs and ordinances governm�fhis type of work witl be cornpleted <br /> whether specdied herein or noL The granling o/a pernut does nof resurne fo give authority to <br /> I violale or cancel the provisions o/any ofher stafe orlocal law reguPting consfruction or the � <br /> �� peAormance o/conslrucLon �Thaf!am aulhorized by N�e owner of(h�s property to p�rlonn Ih� \ <br /> � work lor which applicafion " made and 1 comply wifh the Stafe Confractors Law 18.27 RCW and � � ���1 I <br /> ; zss.zoo wnc. > .- / /'��'/� /�Z ��� <br /> .� ��-� -- �.� �� C���� �� «� <br /> �- , \ <br /> Signalure Date � �� �U/ <br /> G�.�t�p '�S� ( � <br /> � <br /> I__ ' <br />