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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 />_ i ��� a �a�L2ul' �f <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Address <br />Mail Address <br />� <br />City <br />City <br />L������� �; <br />State/Zip <br />State/Zip <br />Phone <br />Phone <br />__..1 %wwQ � <br />v <br />Electrical Contractor Mail Address City State/Zip Phone <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done: <br />�/�� <br />Contract Price of Work <br />Contact Person (Plan Review) <br />G I C� <br />�]. � l ` �i�ii1.GG �l Y '� — r <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE � <br />BE IN RACEWAYS, MC ORAC CABLE. �O <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify thaf 1 have read and examined this application and know the same to be frue and <br />correct. All provisions of laws and ordinances governing this type of work will be complefed <br />whefher specified herein or not. The granfing of a permit does not presume fo give authorify fo <br />violafe or cance/ the provisions of any other state or local law regulating construction or fhe <br />pertormance of construction. That ! am authorized by the owner of fhis property to perform the <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />296,200 WAC. _ � <br />re <br />���ZO(-00`� <br />