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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <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 8 CREDIT CARDS ARE NOT ACCEPTED <br /> 313 <br /> 2 <br /> - (Dos ( S7 S� doT #1 <br /> PROJECT ADDRESS <br /> ,6ACi)A/ /� dMF_S y7-! ZYy 0 <br /> Owner Mail Address City State/Zip Phone. <br /> Tenant Mail Address City State/Zip Phone <br /> Electrical Contractor Mall Address City State/Zip Phone <br /> tif�G/i�F_coo3xlT <br /> State License Number Contract Price of Work <br /> me W \F/2 <br /> Proposed Use of Building Contact Person (Plan Review) <br /> 'ascription of Work lu Be Done: /VF— . 'f,4 2 00 AME <br /> NOTE: 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=1 <br /> certify that I have reed and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whetter specified herein or not. The granting of a perm 7t does not presume to give authority to <br /> violate or cancel the previsions of any other state or local law regulatingconstructionor the <br /> performance <br /> for whichfa o licatiotn Is made end 1 comply authorized <br /> the State Confrhalcta s Lew 18.2 RCW end <br /> 296.200 WAC. pp py <br /> �F ' 15ipna aDate <br /> l <br /> �/O/05� <br />