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0 • <br /> 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 /> Hot <br /> PROJECT ADDRESS <br /> Owner Mail Address City State/Zip <br /> Tenant Mail Address City State/Zip Phone <br /> &-AA) AJ��� � t Lb IL7 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> State License Number Contra rice of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> �ZBO <br /> Square Footage(If residential new construction, remodel or addition) <br /> Description of Work to Be Done: u� �� 'j-TV VZ-E 1 <br /> LA'AIV � mow( <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE . <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that 1 have read and examined this application and know the same to be true and 1 3�3_o I <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not resume to give authority to 6 <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That I am authorized by the owner of this 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 <br /> 0J <br /> _ 0I <br /> Signature IDate <br />