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<br /> ELECTRICAL PERMIT APPLICATIOiV � `
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<br /> CIT`.' �F EVERETT PERMIT SERVICES �, xj"� ��x'
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<br /> 3200 CEDAR STREET, EVERETT, WA 98201 �
<br /> 425-257-8810 - FAX 425-257-&857 —www.everettwa.org '
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<br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBII' & CREDIT CARDS ARE NOT ACCEPTED 'a.��„�q'
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<br /> PROJECT ADDRESS �, _ ! �G(z�13
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<br /> Owner Mail Address City State/Zip Phor�e
<br /> Tenant Mail Address City State2ip Phone
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<br /> Electrical Conlractor Mail Address Ciry State2ip phone � � � �
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<br /> State License Number Contract Price of Wodc � .;.'r.,;a,��
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<br /> Froposed Use of Building Contact Person (Plan Review) � , v�
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<br /> Description of Work to Be Done: I-�T\ ����. f"� 1 (���_ �'� Y`?�
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<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 /> 1 hereby ceRi(y that I have read and examined this application and know fhe same fo be true and
<br /> correct. All provisions ollaws and ordinances governmg this type o!work will be completed
<br /> whether speci�ed nerein or not The granting of a permd does not presume to give authorit;�to
<br /> violate or cancel the provisions ol any other state cr local law regulating construct�on or the
<br /> pedo�mance of construchon. That/am authorized by the owner o(this property fo perform the
<br /> �vork for which application is e a�d 1 comp/y wifh the State Contractors Law 18.27 RCW and
<br /> I 296.200 WAC. �;
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