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i <br />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 <br />APPLICATIONS ARE ACCEPTED FROM 6 AM T(� 4 PM <br />���I 11A�S�U SI ��I <br />PROJECT ADDRESS <br />O�OCrd CoNS <br />Owner <br />2 <br />c�iY <br />Slate/Zip Phonc <br />2cw 313i N�ssR� s� �,��c�'r i,� <br />Tenanl Mail Address City SIatNZip Phone <br />CZo6� �6�1— <br />PS� �1EcN►�u�cs�14/NC �32z ly.t� Ad� SE�A wl�, 95���, �b6 <br />Elecincal Conlractor � Mail Address Cdy state2�� Phonn <br />S�ate Licensc Nwnber <br />� o L'N�S c� �r' i �.� <br />Pmposed Use ol Budding <br />0 <br />��D���� <br />Contracl Price o( Work <br />Co act Pcr oln (P� Rev�v) <br />NOTE: J�IRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby certdy fhal I have iead and examined Ihis applicafion and kno�v the same fo be hue and <br />cormcl. All provr ions nllaws and ordinances 9ovemmg Ihis fype ol work w�ll be completed <br />whefher specJied herein or noL The 9ranling o! a permd does nolP�esume ro q�ve auu,onry ro <br />wolafe ar r.anr.el lhe piovrsrons o/ any ofher slate or local law regu ating r.onshuclian or the <br />periorrnance ol consl�ucfion. Thal 1 ant aulhnnzed by fhe owner o/ fhis properry to perlo�m fhe <br />work lo� wh fh �pplicafion is made and 1 compty wifh the Stale Conlractors Law 18 27 RCW and <br />f-EE <br />-'/Za� <br />, <br />/ /��. <br />� �Z <br />