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<br /> � ELECTRICAL PERMIT APPLIGATIO�I
<br />� >,,, CITY OF EVERETT PERMIT SER�'ICES
<br />� * 32n0 CEDAR STREET, EVERETT, '✓�!A 98201
<br /> :" fl 425-257-8810 - FAX 425-257-8857—www.everettwa.oig
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<br />� " ' APPLICATION5 ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED
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<br /> PROJECT ADDRES i
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<br /> Ownef � Mail Address City State/Zi
<br /> P Phane
<br /> Tenant Mail Address City State2ip Phone
<br />�;-�';__`� /'te�,,.. I�l,�l+( ��e�=�-r�c y 1z�/ SPirtna�a� �� P'(�-e�arc� �� �/�ZY`i ��� 31�7T71
<br />�' ?"`��" Electrical Contractor Mail Address Ci ;
<br />�; :��,� � �' Sta e/Zip Phone
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<br /> 95iN�(
<br /> E,l'± State License Number Conlract Pnce of Work
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<br /> Proposed Use of Building Contact Person (Plan Review)
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<br /> Description of Work to Be Done: � �e c -� ✓'i c ;, � ��r �,.i�
<br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE �
<br /> BE IN RACEWAYS, MC OR AC CABLE.
<br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105
<br /> I here6y certily thaf I have read and examined this application and know the same to be true and
<br /> correcf. All provisions of/aws and adinances goveming this type of work will be comp/eted �
<br /> whether specihed herein or not rhe granting o/a permd does not presume to give authority to
<br /> violate or cance/fhe provisions o1 any other state or local law regu/ating consVuchon or the
<br /> performance o(conStruWion. That/am autherized by the owner o(th�s property lo pede�m the � I ,
<br /> work lor which application is made and I comply with the State Contractors Law 18.27 RCW and I i
<br /> 296.200 WAC.
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