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« <br /> v <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.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �_�; �, y�,= ,�,f�;�, ,-,:��• �i ; � �. �� � <br /> PROJECT ADDRESS <br /> � ' <br /> �.�oc�l I<' ��;� //�"/.'J �- �"�, �.'>X ���� �0;2,7��•/� �;9// :,�.�l� `9 S'.>_s� <br /> f <br /> Owner Mail Address City Slate2ip Phone <br /> Tenant Mail Address Cily StatelZip Phone <br /> Eleclrical CoNraclor Atail Address Cily Stale2ip Phone <br /> Stale License Number Conlract Price of Work <br /> Proposed Usc of Duilding Contact Person (Plan Review) <br /> Description ot Work to Be Done: _ %— + ' ' .� <br /> . <br /> NOTE: WIRING IN NON-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 cerii!}�(hat 1 have read and examined this applicalion and kr o�v the same to be true and Q�U�— �3, <br /> correct All provisions ol la�vs and ordinances�overnmg fhis fype ol work�vill be complefed � <br /> whether speci6ed herein or not. The�rantin�oI a pernnt does not presunte to give aufhonty to <br /> violafe or cancel fhe provisions ol any other state orlocalla�v regu/afin�construc6on or the <br /> perforrnance of consfnir.lion. Thaf 1 am authonzed Gy the o�vner o!fhis property fo perform fhe <br /> work lor tvhich application is made and 1 comply wifh the State Confractors Law 18.27 RCW and <br /> 296.200 lh�A C. <br /> �� ' �/=' �� � � <br /> �� * = '�, ___J/( � -C�."` ._. . �i ' ._ % —C'� <br /> � Si9nature � Date <br /> /� <br />