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ELECTRICAL PERMIT APPLICd4TION <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 />Mail Address <br />l <br />I A <br />City <br />Phone <br />`-\�. � <br />Tenant Mail Address City State/Zip Phone <br />. e <br />Y�L �.J <br />Electrical Contractor Mail Address <br />��.�� C_ c��.� <br />State License Number <br />Propose Use of Building <br />Square Foota e(If reside ' new construction, remodel or addition) <br />Description of Work to Be <br />���� ��� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />�� <br />City � <br />State/Zip <br />Ga� <br />�� ��� <br />Contract Pr' e of Work <br />Contact Person (Plan Review) <br />� <br />FEE <br />�C�U <br />Phone <br />1 hereby certify that l have read and examined fhis application and know the same to be true and �) �OCI J��� <br />correct, All provisions of laws and ordinance governin� this type of work will be complefed � <br />wheiher speci�ed herein or not. The granti ' of a perm�t does not presume to give authority to l <br />vrolafe or cancel the provisions of any ot r tate or local law regulatrng construction or the <br />performance of construction. That u orized by fhe owner of fhis property to pertorm the <br />work for which application is m 1 mply with fhe Sfafe Contracfors Law 18.27 RCW and <br />296.200 WAC. <br />