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<br /> EL�CTRICAL PERMIT APPLICATION , `: `� '
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<br /> CITY OF EVERETT PERMIT SERVICES ' ' � �������:�:.=''�
<br /> 3200 CECAR STR�ET, EVERETT, WA 98201 � ,:.' � �:�;
<br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org � Z� ��� ��;�
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<br /> AP?LICATIONS ARE ACCEPTED FROM 8 AM TO 4 PY " ' b(Z� / � �} "� '
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<br /> Owner� � Mail Address City State/Zip Piione
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<br /> ElectriCal Contractor Mail Address City State/Zip Phone �" ��t � � "
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<br /> Slale License Number Conlract Pricr,of Work .� ;h 5�i ��� `
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<br /> Proposed Use of Building Contacl Person (Plan Review) f
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<br /> Description of Work lo Be Done: i � J��c�� ��� '��"'�'{ �/ �-��< <^-"� ��� ��J -w�: - `
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<br /> NOTE: N.�IRING IN NON-DWELL�NGS IS REQUIRED TU FEE "M"''� ;�
<br /> � 6� IN RACEWAYS, MC UR AC CABL�:. ( -�R -��"'-,�
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<br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I s� ��}i�� ,
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<br /> 1 hereby certi/y that�have read and examined this application and know fhe same to be frue and ;��.�:`V.��^�� �.�
<br /> r,orrecL All piovisions o�laws and ordinances governm�this ty��o o/u�ork will be cornpleted nt= "
<br /> whether spec�Iied herein or noL The granting ola perrnd does not �resume;o give adlhonty to
<br /> violafe or cancef the provisions of any other state orlocal law re�u�afmo cona;;uction or fhe � , +
<br /> perlormance ol c^nstruction. Tliat 1 am authoiized by fhe owner o!this property to per/orm fhe � ,."k
<br /> work/or�vhich apN��cation is made and 1 comply with fhe Stafe Contractors Law 18.27 RCW and �'
<br /> 296200 WAQ ��� `
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