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� - <br /> ' ELECTRICAL PERMlT APP�ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEREl T, WA 9&201 <br /> 425-257-8310 - FA� 425-257-E857 -v,�vw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br /> -, � <br /> - `� � �i��,=�� '. � i��vP �%ti_ . �=r�r��� ��,:��> �4,�3 <br /> � — <br /> PROJECT ADDRE55 <br /> I <br /> � � <br /> �- '�/v'cr��1 I��cv �(,"-� 1� . ��(�Cwk��4'i'1)� /=rC�r��- (�.,�� C����L> `��S-'G3'3�i, '/ <br /> Owner Mail Address City State2ip Phone <br /> Tenant Mail Address Ciry S�ate/Zip Pnone <br /> Electrical Contreetor M11aii Address Ciry State2ip Phone <br /> State License IJumber Contract Pnce of Work <br /> i <br /> , Pmposed Use of Building Contact Person (Plan Review) <br /> jDescription af Wark to Be Done: <br /> � <br /> � <br /> I NOTE: �VIRING IN NON-DW ELLINGS IS REQUIRED TO FEE I <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> �I I <br /> I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> � 1 hereby ccrtdy fhaf I have r�ad and examr�ed Ihis apF��cation and kncw the same to be frue and <br /> . correct. All prov�sions ol laws and crdinar,ces govenung lhis fype o/�.verk will be complefed I <br /> �.rhether speci6ed herein or nct The granting el a permd does not Aresume to 9�ve authonty fo <br /> �nclata or cancel fhe provisions o(any other state or local law regula�ing construction or the �I <br /> i peAcrmance o!construciion. That/am authonzed by the owner o�this Prcperty to peAorm the <br /> �•-erk�cr which applicaticn is made and 1 comply wdh the Slate Contractors Law 1817 RCW and � <br /> 296200 WAC. _1 i I <br /> �l —�J � / I !�_ b� ' <br /> --�--- � _ 1 I, , <br /> � Signature Date ��� � � ,�� � � <br />