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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 />�- <br />� <br />PROJECT ADDRESS <br />Phone <br />�'-'°�..'� - � J � � Jy <br />���^(�Q <br />Tenant Mail Address City State/Zip Phone <br />Electrical Co <br />_ _�[ GC� � i �� � � ���-- <br />State License Num er <br />� G�v� '�— <br />Proposed Use of Building <br />Description of Work to Be Done: <br />Address <br />City <br />;���,\ c�h � <br />�t� � �� <br />?I�-�`1 y�nt 3 <br />��i �� <br />Contract Price of Work <br />�,�'� e � t� rn='t P� <br />Contact Person (Plan Review) <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />�t� lC�� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that 1 have read and examined this application and know the same to be true and ���� � �� <br />correct. All provisions of laws and ordinances govern�n� this type of work will be completed —� <br />whether spec�fied herein or not. The granting of a permit does not presume fo give authority to <br />violate or cancel fhe provisions of any other state or local law regulating construction or the <br />performance of construction. That I 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 />� r'7� � `" <br />Date <br />