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�ELECTRI(�AL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - F,4X 425-257-8857 —w�,vw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> J <br /> �"_� <br /> t� �� � ��' � '(� <br /> � L� <br /> PROJECT ADDRESS <br /> _ L C-.'.�F f�/J�_ �� C�; �''�`-) .,�CC.� �S/U�l1/u%!-'--il �!->(� %��5� <br /> �� �-i' /IG , <br /> Owner Mail Address City State/Zip Phone <br /> l�� <br /> Tenant idail Addrzss Ciry State/Zip Phone <br /> Electrical Conlractor Mail Addres; Ciry State/Zip Phone <br /> State License Number Contract Price of Work <br /> --� l `� <br /> Proposed Use of Bwlding Contact Person (Plan Review) <br /> � —� �/.. <br /> Description of Work ta Be Done: --����� �� � -'_;`�j '� %^.).:�/' �_. <br /> � <br />� NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF LVERETT LOCAL SALES TAX CODE IS 3105 <br />�� I hereby certi/y thaf I nave read and examined this application and know the same to be fru�and <br /> coirect All prcvisiont� of laws and ordinances govem�ng this type of wo�k will be completed <br /> �vhefher specihed herein or noL 7he granting o/a permit does not presume to give aufhonty to <br /> violate or cancel the provisions ol any other state orlocal law regmating const�uchon or the <br /> pe�formance cf construcnon. That l am authorized by the owner of this prepeRy fo pertorm the <br /> work(or which application is made and 1 comply wifh fhe Sfate Contractors Law 18.2� RCW and <br /> 296.200 W, C. � <br /> . <br /> �� , � ,= �� �13v � � <br /> Sig re Date <br /> ���o'I � ISI I <br />