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ELECTRICAL PERMIT APPLICATION <br /> CI7'Y OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREE'.', EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.evareth•aa.org <br /> AFPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br /> `� � ys � � SFti �r SF <br /> PROJECT ADDRESS <br /> 12 r D �,q-¢ � Cr c e ,� <br /> Owne� Mail Address Ciry State2ip Phone <br /> Tenan Mail Address Ci�y Stale/Zip Phone <br /> �� � (:�G,>� <br /> r',�� {�l���cf �Z�ec y��2 '� �rv- � ��/�er Fnc. �u ��l G4�t `� f+�zYS 33/• 7t'�2 <br /> Electrical Conlraclor Mail Address Ciry State2ip Phone <br /> �ev,� titea �� i..� y _ <br /> Stale License Number Contract Price o(Work <br /> �2< � � ��,��� �� I <br /> Proposed W�.e of�uilding Conlacl Person (Plan Revicw) <br /> Descii��!;�n of Work lo Be Done: _ �i���,; �lu+tic' �" ' �' vi S <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CI7Y OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily U1at 1 have read and examined this application and kno�v the same to be true and <br /> correcf. qll provisions ollaws and ordinances governrng lhis 1}�pe olwnrk�vill be conrpleted <br /> whe(her specilied herein or noL The granting ol a pennrt does not resume fo give aufhority to <br /> violale or cancel the provisions ol arry other slate or local law re�uPfing censtiuction or the <br /> perfonnance of construction. Thaf 1 am autho�izaU 6�the oK�ner ol(his property to peAonn the <br /> work/or which app�icalion is made and 1 comply with the Sta(e Contrac(ors Law 18.27 RCW and <br /> 296.200 WAC. <br /> / / � 7 7 , c' 1' <br /> `�naWre Ddfe <br /> l�a.��C� -- /� Z<- <br />