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<br /> ,; ELECTRIGAL PERMIT �PPLICATION
<br />� ,� CITY OF EVERETT PERMIT SERVICES , ; �
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<br />'�. A 3200 CEDAR STREET, EVERElT, WA 98201 1 z�i1,���,��
<br /> .p4 425-257-881� - FAX 425-257-8857 —www.everettwa.org �. ,
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<br /> ' APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��' ' �w
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<br /> Y°�� � -' EleClfiCal Conlra� Mail Address Cily Slale/�ip Phone ^� �`);S �I'�
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<br /> �, Slate License Number Conlract Price of Work ' �,t �
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<br />��� � Description of Work to Be Done: ��� `�Vy Y- �w� v�'`�� �� '4 ' '
<br />� ���aSe c9n.l�- �4Z5-�15� -�cvl3 ��-i2-.s� - �Ca�; - 12cp3 �'�� ��``�,
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<br /> i NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE ���� , �
<br /> ';;, ; BE IN R4CEVVAYS, MC OR AC CABLE. '' �, r�
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<br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �;�
<br />#� !hereby certily that!have read and exanuned this app6cation and knoiv the same to be frue and + '��
<br />{ /, -r � correct All provisions ollaws and ordinances governmg this type oI work will be completed � �
<br /> r i' ! whether specilied hcrein or noL The�ranling o!a pernut does no! resume to give aulhordy fo '"±
<br /> � � violate or cance/the provisions of any other state or local law reguPting consfruc(ion or the s
<br /> � perlormance o/construction. That I am authorized by the owner o/this p:operty fo perform fhe �
<br /> work lor which application is made and I comply with fhe State Confractors Lew 18..'.7 RCW ar.d ' � ''"
<br /> � 296.200 WAC. �':
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