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-7 <br /> EL�CTRICAL PERMI� APPLICATION <br /> CITY OF EVERETT P�RMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FA_X 425-257-8857 —www.everetriva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> � \ �-��� = c_ <br /> PROJECT ADDRESS <br /> -��. <br /> � �_i v,� . � c� z J�� �n �51`,:-. -e � � o ' <br /> Owner \ � �J, �� ���� � �i i . �.,' � — <br /> ail Address Ciry State/Zip Phone <br /> Tenant Mail Address City State/Zip � Phone <br /> ��( i /�7� ._ <br /> S� <br /> r � <br /> C- -• ,��� - � � � _- � . S7r � - � i� �, „ � i/ 7 <br /> � �- � i �. � L vl114.�cc��� ���— `l�c' � <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> �` �.,t� \ <� ._ � C� � S'__a ✓A � � <br /> �-`� p 'i:, o L <br /> State License Numoer Contract Price of Work <br /> Proposed Use of Bwiding Contact Person (Plan Review; <br /> Description of Wark to Be Dane: � � - , � �! ` �S-S` ` ,` . -� �, ���� ���.` 1� <br /> �� <br /> I <br /> NOTE: WIRING IN 'JON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 f� <br /> II hereby ce�Yifv that I have�ead and exami��ed this applicatien and kno�v the same to be true and <br /> correct. All piovisicns of laws and ordinances yovermng this type ol work will6e c�mp/efed <br /> I wnether specil�ed herein or noL The granfir,g of a permit does not presume to give authority to <br /> Iviolale or cancel the provisions of any othe�state or local la�v iegu(ating construction or the <br /> �c��fora�vh ch applicatiotn is ade and 1 comply w th fhe State Corrt a/ctors�a v 18.27 RCW and <br /> 296.200 NAC. <br /> i � <br /> ��r���'i_�._�.�- ,.. .��� �" . � _ '1! ,- �C,� <br /> Signature Da�e <br /> _� _ ' i 3 � <br />