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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVCRETT PERMIT SERVlCES <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&CREDIT CARDS ARE NOT ACCEPTED <br /> _��r � ��� � . <br /> PROJECT ADDRESS <br /> ���-�� f�`�I�� �, �� r � a ����-� �.�,� � ��7-��.�v <br /> Owner Mail Address City Stale/Zip Phone <br /> 1 / , Y` l�— <br /> Tenant _ Mail Address Ciry State2ip Phone <br /> � �f,7 2� Q�J <br /> ���.���I�� �c. 2� PJ'��w���� �-t, �man�s .�� w.4 3103��� <br /> Eleclrical traclor Mail Address City Stale/Zip Phone <br /> �w;�'`T'�-�T�� /C � -����-� <br /> Slate License Number Contract Price of Work <br /> �-� <br /> Proposed Use o uil 'ng Conlact Person (Plan Review) <br /> DescriplionofWorktoBeDone: 1h�r..� �Pcw/ ���� �✓� 'l/ I�i`��L_It`.i�, <br /> INOTE: 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 certily fhat I have read and examined fhis applicafion and know fhe same to be true and <br /> correcL Al!provisions of laws and ordinances goveminc�this type o/work will be completed <br /> whether specdied herein or noL The granting o(a permit does not presume to give airthonty to <br /> violate or r.ancel fhe provisions ol any other state or local law regu/ating construcfion or the <br /> pedorman�e ol consfruction. That I am authorized by the owner of this property to perform the <br /> �vork lor which application is, ade and 1 comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> '� � � l [� (1 <br /> : , <br /> r � Dal p <br /> / J,�"�' <br /> � <br />