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ELECTRIC.AL PERMIT APPLICATI�N <br /> CITY OF ��VERETT 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&CREDIT CARDS ARE NOT ACCEPTED <br /> � � `, C> �t-�� l--(v'�f�S I /�V+= <br /> PROJECT AODRESS I <br /> ;y -, � , ti _ <br /> v � <br /> (-1t�:, �_,a �TH �i9,-� E l� v��T'� <br /> r.tila �aSz�3 � � �' � <br /> Owner ldail Address City Slate2ip Phone <br /> Tenanl IdailAddres, Ci�y S1a�e2�U PhOne <br /> Eledrical CoNraclor htail l�ddress Ci;y StatelZlp Phone <br /> Stale License Number Coniract Price of Work <br /> r°F��rn,- ti;,.� ,� .,, ,r � ls�� �l <br /> Proposed Use o(Building Conlacl Person (Plan Review) <br /> Descriplion of Work lo F3c Donc: _ P I'��� ,-,/�( " �"i ��'i � `–��� �`� �='���- <br /> i{'�Ri= 19i�7�I7iC�.��4L I�'ZPfil`'i� - <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> IBE IN RACEWAYS, MC OR AC CABLE. <br /> CITY Of EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceridy thqf I have rcad and er�mined thrs applioalion and know the same to be true and <br /> cunect All provisions ol laws and orAinar,ces govern�ng this ryPe o�work�vill Le canpleted <br /> whether specilied he��ein or nol. 7he giantin�ol a pernnl does nof resume fo give aufhonty fo <br /> violale or cance!Ihe I�rovisions ol any other state or local law ieguPfing construcfion or fhe <br /> perfornrance of caisfruclion. Thaf 1 am aufhorized by fhe owner o�this propeRy to perform the <br /> woik lor which appucafion is maJe and 1 comply wilh the Sfafe Contractors La�r 18 27 ftCW and <br /> 2d6.200 WAC. <br /> 1 � � �'-J -����-t� - <br /> --�-- � /: - , <br /> S�gn�PJre Dale � <br /> � �; <br /> 1 <br /> i �.�� . / ' <br /> _ �r _ �� < ; - � <br /> �, � r� -- L `-' <br />