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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 '�` (4t -09 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org E.Oyo a.-to,5 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECTADDRESS <br />Owner Mall Address City Slate/Zip Phone <br />renanl <br />Mail Address <br />Electrical Contractor Mali Address <br />State License Number <br />Proposed Use of Building <br />City <br />City <br />State/Zip <br />Stale/Zip <br />Contract Price of Worry <br />Contact Person (Plan Review) <br />Description of Work to Be Done: <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that 1 have read and examined this application and know the same fo be We and <br />correct. All provisions of tat <br />and ordinances govommg this type of work will be completed <br />whether spec(fiad herein or not. Tire granting of a pemnt does not resume fo give aufhonfy to <br />violate orcance/ the provisions of it other state or local I ll regulating will <br />or the <br />perfr nce 0f constmcfion. That 1 am authorized by the owner ofit <br />this re to Otto lie <br />the <br />work for which application is ruado and I comply with the Slate CoWincfors Law 18.27 RCW and <br />2g0.200 WAC. <br />e- =; <br />FEE <br />tFOraba -lob <br />FURva-ios <br />Phone <br />Phone <br />