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ELECTRiCAL P'E�MIT APPLICATIOlV <br />CITY OF EV�RETT PERMIT SERVICES �_ a 7-� � <br />3200 CEDAR STREET, EVERETT, WA 98201 ��s� /_/ �Q <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - D[BIT & CREDIT CARDS ARE NOT ACCEPTED <br />:� '� � 0 Y�l FF � I S� Ai ,S f <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Contractor <br />Siate License Number <br />Praposed Use of Building <br />Description of Work to Be Done: <br />e%,./ �� �i <br />Mail Address <br />Mail Address <br />, <br />_� c. <br />Mail Address <br />%7 i/����� <br />— c.ty _ <br />City <br />/ /t!'O� s �/7' <br />City <br />NOTE: WIRING IN NON-GWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 here6y certily that I have read and examined fhis applia <br />correct. All provisions of laws and ordinances governing <br />whether specilied herein or nn!. The granting o/ a permd <br />violate or cancel the provis;ons of any othar state or local <br />performance of constr�cfion. That ! am authorized by ths <br />work lor which application is made and 1 comply with the <br />296.200 WAC. <br />/, � �c (-�� <br />-��� _ .��� <br />State/Zip <br />State/Zip <br />Stale2ip <br />Contract Price of Work <br />'ad� <br />Phone <br />Phone <br />U�' <br />Nhone <br />Contact Person (Plan Review) <br />1��-� S e � <br />and know the same to be true and <br />ype of work will be campleted <br />not presume to give authonty to <br />egu/afing construction or the <br />er of this property to peAorm the <br />Contractors Law 18.27 RCW and <br />o/_a 70 <br />FEE <br />v� <br />�c�svl -13U <br />