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ELECTRICAL F'ERMIT 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 />Z`� ZZ M �1uh1� �/s� �I2 . <br />PROJECT ADDRESS <br />Tenant <br />�� <br />M14ail Address <br />Mail Address <br />City <br />City <br />State/Zip <br />State/Zip <br />Phone <br />Phone <br />'�a�� �.�h5r layk,z,�;�crnac �'o r_'�� s�io Wooatr����= �,�J� qa��z �IZs-��i-scr�i <br />Electrical Contractor Mail Address Ciry State2ip Phone <br />� I�CtFC��y�I �c-� <br />State License Number <br />Proposed Use of Buildiny <br />Description of Work to Be Done: <br />'1 ��oo <br />Contract Price of Work <br />Contact Person (Plan Review) <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN R.4CEWAYS, MC OR AC CA6LE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certi/y fhat I have read and examined this application and kno�v ;..e same to be frue and <br />correct. All prcvisions ollaws and ordinances govemmg fhis type o( work �vdl be compl^ted <br />whether speci6ed herem or noL The granting ol a perm:t ooes not presume to give au:hority to <br />vielate or cancel the prowsions olany other state cr local law regulating construchon or the <br />per/ormance o( construcLon. That 1 am authorized by the owner o( this p�operty to pedorm the <br />wcrk /or �vhich application is made and I comply �vdh fhe State Contrcctors Law 18.27 RCW and <br />FEE <br />