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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320G CEDAR STREET, EVERETT, WA 98201 �` /�`a � <br /> 425-257-8810 - FAX 425-257-88:7 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM Cd7D���[ <br /> v <br /> I�y/i ,(�u �_/�_�• �_. <br /> PROJECT ADDRESS <br /> <� <br /> ��_ �LL <br /> Ownef fdail Addiess City Slale/Zip Phone <br /> Tenanl Mail Address Cily Slate2ip Phone <br /> ��v-/ l�.l_,�i <br /> EleClriCal ConlraC�of A7ail Address City Slate2ip Phone <br /> State License Number Contract Price of\Nork <br /> �/`7� <br /> Proposed Use o(Building Conlacl Person (Plan Review) <br /> Descriplion of Work lo Be Done: L���rC f-��J1.D/���_� � GZ����C� l'��' 7i`'�-Cit '� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CA6LE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> !hacby cmiil}�that 1 have rcad and examined this applicafion and kno�v fhe same to be true and <br /> coirecL All provisions oll.i�vs anAordinances govemmg Ihis lype o/�vork�rill be cnmple(ed L (,r � ( f 1 � � .��� <br /> �rhether speci6ed herein or noL The granling oI a pennd does not �resume te give authurify to - <br /> violafe or cancel the pro��isions o/any olhei st�fe or local law regu�3ting construcfion or fhe <br /> p�ifonnance o/conslruction. That I am authorized by the o�srer o/thrs propeity fo pedornt the <br /> work lor which applicafion is made�nd 1 comply wifh the Slate Contracfas Lnw 18.27 RCW and <br /> 296.200 WAC. / ' <br /> � <br /> / , � — <br /> .� ^ � <br /> � j � <br /> � � ;z �.tG � � '���t� �-'" ��7�U / <br /> SlgnaWre ' �' Uate ' <br />