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ELE'CTRICAL P�RMIT APPLICATION <br />CITY OF EVERETT RERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everethva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�l .�� r' � >o. <br />PROJECT ADDRESS <br />�'��;. - �`i3� U�'�h1"arc� �-<i� � `v��- ��'�/-C�i� <br />Owncr A1ailAddmss City StateiZ�p PP�onc <br />� j � i"—'�,�r-r Si� , . �'S�_��:,a,,,.:,.. `�-3rt <br />Tenanl MailAddress City State:Z�p Phcne <br />Eleclrical <br />State License Number <br />Prupused Use of �uilding <br />� o i��, <br />Mail Address <br />DescripGon ot l'Vorh lo �a Dune: % l= � <br />/� <br />tJJTE: WIRIIJG I�I NON-DWLLLINGS IS REQUIRED TO <br />[3E IN RACEWAYS, AIC OR AC CA6LF. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />CiPy <br />: � <br />Slale'�q> Phonc <br />Contracl Price of 1Nor4; <br />Contacl Pcrson (Plan Revimv) <br />,. .. ../. / i'— r � -f ',�� <br />FEE <br />I hereby ceMily Ihat 1 have mad and exaniinc A fhis npplication and kno�v the same to be true and � L--I `, i,t" G <br />conect All provisions o/ laws and ordinance.: �overnmg this lype ol work will be compleled l� v 3 <br />�vhefher specilied herein or not. The c�ranfing o/ a pemuf does not resume fo give odthority fo <br />violafe or cancel Ihe provisions o� any other sh�fe or local law reguPfing construchon or the <br />perfonnance ol conslrucfion. That 1 am authorized by the owner ol this properly to perforrn the <br />woik lor �vhich applicafion is made and 1 cornpl}� irith the State Conlractors Law 18,27 RCL^, and <br />296.200 WAC. � — — —� <br />