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ELECTRICAL PERNlIT APPLICATIO�I <br /> C!"fY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> � 0�1 � � .� S �, � ��� �t" �i S� <br /> PROJ[CT ADDRESS <br /> 1�- � �� <br /> Owner Mail Address City Stale2ip Phone <br /> Tenant Mail Address City Stale/Zip Phone <br /> r^ <br /> _ � �.����� I��� ��er �z (ec <br /> Eleclrical Contractor Mail Address Ciry StatelZip Phone <br /> Slale License Number Contract Price of Work <br /> N e w I,<�_� ;�> <br /> Proposed Use o(Building Contact Person (Plan Review) <br /> Descriplion of Work to Be Done: � r'^� 1'��" � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � <br /> ; CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 heieby certity that I have read and examined this application and know lhe same to 6e true and <br /> correct. All provisions ol laws and ordinances governing this type ol work will be completed <br /> whefher specihed herein o�not The granting o/a pennd does not presurne fo give authonty to <br /> violate or cancel fhe provrsions ol any other stata or/ocal law regulatinr�conslruc6on or the <br /> performance e/%onstrucUon. That I am aufhorized by the owner o!th�s property to perform the <br /> work for which application is made and I compl}��vi(h the State Gontractors Law 18.27 RCW and <br /> 296.200 WAC� <br /> � � ����- � <br /> �/'__t—�.-���I y, L L, ` .. <br /> , �- <br /> � <br /> Signature Da(e <br /> ,/� `j�I � � � <br />