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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 /> • <br /> APPI.ICXi'IOh1); ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> • <br /> L')2 t 11.1 <br /> I F'ta')JEC:I',I7i)REiF.S <br /> di7PF 4kikSDI4 kct9 . Vagi" qk% <br /> • ".1,it A:kirbeis Ci y state,7;p t'h+:r.e <br /> A+fdrosl City S:ater2ip Phone <br /> Mil 0110,1i1L- <br /> Addrort: City State/Zip Pnottio <br /> %1111 <br /> 114 YO . ........_........_�_...._..��._....... .....__. <br /> 5: t• c.k :;+::<: "::an;;;,:t Contract Price of Work <br /> Contact Parson (Plan Review) <br /> •1A/1.14,1 <br /> i•li:'i:i�;:,:n i+(Wolk 4.111.1 .7di1�:: C ....� t./. r+� _ <br /> 11.0111_ .l. U_ � -- <br /> Y : <br /> • <br /> WIRING IN NON•UWl._I_I.INGS IS REQUIRED TO FEE <br /> at,. IN riA( F.WAYS, MC OR AC CABLE. <br /> C:T C I:Vhi'tIi i'i LOCAL..SALES TAX CODE IS 3105 - -- —. <br /> i c,•,r;:y road and examined this apoficat/dn and know the same to be true and <br /> ;?to;!. All pri-:V:,:lnn::of!:ill's and ordinancos governing this typo of work will bo completed <br /> ii+:n::n'Jr nal. her°hinting of n permit does not presume to give authority to <br /> .+.rli_, or_gilt:.&tfrC;f)r's:b'r,.ruliti of any[}tlrar WIC or local law regulating construction or the <br /> pGrK.r}?GtiCO. c.)/C " c.tb '). That! 'fa authorized by the owner of this property to perforin the <br /> rtrrico.r.m is made r.7d I comply with trio Stata Contractors Law 18.27 RCW and <br /> FoL <br /> ..,ice t�utQ <br /> co-( zs <br />