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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 <br /> /3o 5'-t <br /> PROJECT ADDRESS <br /> /0744_ Sf dT 7/ / �fZs13 W10 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> F'v s- , r cA FL— £0c0 <br /> Square Footage(If residential new construction, remodel or dition) <br /> Description of Work to Be Done: 0✓t <'✓ C'te 7 L C 7 S' f1/E����/n/ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. 75 00 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> !hereby certify that I have read and examined this application and know the same to be true and E 12 r/1 4 <br /> correct. Al!provisions of laws and ordinances governing this type of work will be completed L 1 <br /> whether specified herein or not. The granting of a permit does notresume to give authority to <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That!am authorized by the owner of thisroperty to perform the <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> /0/20- <br /> Signature Date <br />