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ovoai � ia io:aa r•,�x <br />��a <br />ECT ADDRESS <br />Contractor <br />t <br />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.evereUwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />Me�i o.dare'ss <br />Ma�l Address <br />r�-t^i G <br />M1�a�t q4Creis <br />ot Work lo Bo Done�. <br />" - ` — _ — � _ !' . <br />Gty <br />CAy <br />P, <br />cny <br />State2 p <br />Slale2p <br />� .�it2.n l.�;Q� q � <br />slata2ip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />f�oo+ <br />Phone <br />Phana <br />aa <br />anonc <br />� I <br />E: WIRING IN NON�DW[LLINGS IS REDUIRED 70 I FEE <br />BE IN RACEWAYS, MC OR AC CA�LE. I <br />� �'0 - oa <br />OF EVERETT LOCAI SALES TAX CODE IS J706 I <br />by cerhty t�at I havo reatl and exnmined�fhrs appLcafion and know the samo fo pe Wo and <br />:f. All pronsions oJlaws and ordinances.qovemmg fA�s typo of w'oilr w�ll bn com lefod �/, 10 �_ O/� <br />�er spec�ed heroin or not. 7he granting ol a permrf does not presume fo givo o(honty to �f � <br />3 or cancel fha provisions ol any other stpfo or loCal law regulating cons6uCfion r tho <br />mance o/ consWclion Thaf ! am aufhonaod by tho ownor ol tMs proporty fo pedorm tho <br />br which appl�catron is mado and ! c�ompty wilh the Sfa(e Conlrac(ors Low 78.2d RCW and . <br />� <br />I <br />