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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 />PROJECT ADDRESS <br />Owner <br />Tenant <br />Electrical Contractor <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done: <br />Mail Address <br />Mail Address <br />Mail Address <br />City <br />City <br />City <br />— � -) �-- <br />_ �� . _ � , <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />State/Zip <br />State/Zip <br />State/Zip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that 1 have read and examined this applicafion and know the same fo be true and <br />correct. All provisions of laws and ordinances governin� this type of work will be completed <br />whether specified herein or nof. The granting of a perm�t does not presume to give author�ty fo <br />violate or cancel the pro,visions of any other state or local law regulating construcfion or the <br />performance of construction. That 1 am authorized by the owner of this property to perform fhe <br />work for which application is made��and 1 comply wifh the State Contractors Law 18.27 RCW and <br />296.200 WAC. ' <br />� s �� <br />�7 - <br />; <br />Phone <br />Phone <br />Phone <br />FEE <br />�5 -- <br />