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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
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<br />PROJE:CT ADDRESS
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<br />Owner �
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<br />Tenant
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<br />Mail Address
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<br />Electrical Cont�actor
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<br />Sfate License Number '
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<br />Address
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<br />P posed Use of Building
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<br />NOTE: 'WIRING IN NON-DWELLINGS IS REQUIRED TO
<br />IBE IN RACEWAYS, MC OR AC CABLE.
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<br />Contract Price of Work
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<br />Contact Person (Plan Review)
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<br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105
<br />l hereby certify that I have read and examined this application and know the same to be true and
<br />correct. All provis�ons of laws and ordinances govern�ng th�s type of work will be completed
<br />whether spec�fied herein or not. The granting of a perm�t does not presume to give authority to
<br />violate or cancel the provisions of any other state or local law regulating constructron or the
<br />performance of construction. That I am authorized by the owner of this property fo 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.
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