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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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> �5.�. �7 ��� �:. �r� �- <br /> PROJECT ADDRESS <br /> �e-/-� 1^�SD /'� <br /> Owner Mail Address City Slale/Zip Phone <br /> Tenanl Mail Address City StatelZip Phone <br /> /7 �� c5Q {^V'I G�S �/ ,� <br /> Eleclrical Conlractor Mail Address City StatelZip Phnne <br /> Stale License Number CoNract Price o(Work <br /> � �/. S-.,�v/�e ��n � j' <br /> Proposed l�s of Building Contact Person (Plan Review) <br /> n <br /> Description of Work lo Bo Done: �-2��C7�C -e- a0� Cy '-S-z r ✓: C-2 <br /> J�--� Q -r/ G ��/! /o/� , <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RAC[WAYS, MC OR AC CABLE. <br /> � CITY OF EVERETT LOCAL SALES TAl(CODE IS 3105 <br /> 1 hereby certily that I have read and examined fhis applicafion and kno�v fhe sante to be fn�e and <br /> ccrrect All provisions ol laws and ordinances c�overnmp this fype o!work will be completed <br /> whelher speci/ied herein or noL The graniing o/a pernut dor.s nof presume(o give authority fo <br /> violafe or cancel the provisions c(any other sfa(e or loc�l la�v regulating constn�ction or fhe <br /> perlomiance o(consfruc6on. Thaf 1 am aufhorized by fhe o�rner o/fhis property fo perfomi the <br /> wo�k lor which application is made and 1 comply with the State Confractors Law 1827 RCW and <br /> 296.200 INAC. <br /> �//�7 <br /> /�/C��/ ��' � d <br /> /--�! 'Signa u te � <br /> � ��� � <br /> � <br />