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ELECT�IC�L PERMIT APPLICATION <br />CITY vF EVLRET? PERMIT SERVICES <br />3200 CEDAF. �TREET, EVERETT, WA 98201 <br />4�5-257-8�910 - F4X 425-�57-8857 - w�v�,v.everettiva.ory <br />APPLICATIONS I�RE ACCEPTEU FROM 8 AM 1 U 4 PM - DEBIT & CREDIT CARDS AItE NOT ACCEPTED <br />/� / / �13 ���/. S .� . � ,,�.rt � �, t a 3 0 <br />PROJECT ADDRESS <br />� �-�S !'b f��/r-v�9 a� [JQ IgdYe 35y-iaoo <br />0 xner Mail Aadrr.ss <br />���Y Statc2ip Phone <br />Tenant <br />[I�ctri,;al Contractor <br />� <br />�taic License Numher <br />Proposed Use of Duildiny <br />Mail Atldrr.ss <br />Matl Address <br />Description of Work to Be Done: � � <br />NOTE. WIRING IN NON-CWELLINGS IS REOUIRED TO <br />i BE IN RACEWAYS, MC OR AC CABLE. <br />C�TY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Ciry <br />Clty <br />State/Zlp <br />Stale!Zip <br />Contract Pnce o( Work <br />Phone <br />%— 3.� -9aP� <br />Phone <br />Conlact Person (Plan Review) <br />� ' herebv rer�h� thaf I havr. read and exammed this apol�cation and know the same to be true and <br />�.�necL All piev�sions o; laws and ortlmances governmq fhis type ol work wdl be completed <br />�.vnether speaGad herern or ncf � he g�entmg o/ a permrt does net presume to yrve authonty to <br />. re�ate or cancel �he p�owsions ol eny other state or local iaw regu/euny construction or the <br />� nerfcrmance ol consvuc6on. rhet I am authonzed U� fhe owner ol th�s property to peAorm the <br />,,t�crk lor whirh applica6on �s�/rp de and I comply wrth fhe Sta(e ConVacto�s Law 18.:7 RCW eno <br />.'95.200 WA�-i--7� :' / <br />FEE <br />�+c� <br />�� . <br />� <br />; �. <br />�_ `��� - c � � <br />