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�LECTRICAL PERMJIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32C0 CEDAR STREET, EVERETT, WA 93201 <br /> 425-257-8810 - FAX425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS AFZE NOT ACCEPTED <br /> l'��l �� �-r� n c' C �' , <br /> _ IJ J <br /> PRGJECT ADDRESS <br /> n � f <br /> I� 9 � c�.l' k �C ti�1� <br /> Owner Mail Address Ciry State/Zip Phone <br /> Tenant MailAddress City State2ip Phone <br /> ' (�c,��} <br /> � �( � � <br /> , e ,�, �, d � �� le� y�Z�l �o�r,nul�� Q� f�z� IG,�d �,1�� �i�zy� 33/ 7��� <br /> Electrical ContraCtor Mail Address Cih' State/Zip Phone <br /> �cJi.�,ti�e ���tNY <br /> State License Number ��ontract Price of Work <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Description of Work to Be Done: I �' ��'+A �u�� <br /> NOTE: WIRING IN NO�'-DWELLINGS IS REQUIpED TO <br /> BE IN RqCE�NAYS, MC OR AC CABLE. I FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � <br /> I here6y certify that I have read and exa,mined fhis app!ication and know the same fo be true and <br /> correcL All p�ovisions oi laws and ordinances go�er.�mq this rype o/wcrk u�,ll 6e completed <br /> wnether specified herein or noL 7'he granting ol a permit does nat presume to give authority to <br /> viclate or car,cel the provisions ol any other state or local law reculating construction or the <br /> �o�k(crawhe h appl cation�s ade and I cotmply w fh fneeState C nf a�ctors La�v 18.27�RC W and <br /> 296.200 WAC. <br /> . <br /> ����--�`��� ��' � 7`o �` <br /> Sig ure Date <br /> i o4�cr�5 I <br /> � <br />