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� t <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �, a►� o <br />3200 CEDAR STREET, EVERETT, WA 98201 � <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org ��� d g�/ �� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��13 �%��nlz � <br />PROJECT ADDRE�SS <br />Owner <br />Tenanl <br />Eiedrical Conlracloi <br />Stale Lir.ense Number <br />ProposeJ Usc ol �uilding <br />Doscription ol Work lo Dc Donc: <br />�� <br />h1ail Address <br />A1ail Addmss <br />A1ail Address <br />City <br />City <br />Cily <br />Stale/Zip <br />State/Zip <br />SlalelZip <br />Cor,tracl Price of Work <br />Conlacl Person (Pian Review) <br />Phone <br />Phonc <br />Phone <br />NOT[: WIRII�G IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certily (Yal 1 ha��e read anA examined this applicafion end know fhe seme fo <br />cont�cL All pruvisions ollmvs and ordinances govertunt� this f}�po of �+�ork irill be con <br />a�he0�er speaGed herein or noL The �r�3nting o( a permd does not �rosumo fo give a <br />violate or canc N �he runvisions oI an}� olher state or local lan• re�ulating constn�cfion <br />perforntance or constnrction. 7haf 1��rn nufhoiized 6� Ihe on er o/ fhis property fo pi <br />�tin�k Ior �rhich application is made and fComply withj(he Sta� Confracfors Law 18.2 <br />296.200 LNAC. � . <br />� <br />.'.� ./� ._ - <br />„ � -- <br />� ���1 . � �-:"s� -i . <br />° � � <br />FEE <br />anA F (,��`��'J����l,l <br />to <br />and <br />