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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETi, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everellwa.org <br /> APPLICATIONS ARE ACCEPTE� FRUM 8 AM TO 4 PM <br /> . � �z� �llv <br /> PROJECT ADDRESS <br /> Owner ldailAddress City Stale/Zip Phone <br /> Tenanl hlail Address City Slate/Zip Phone <br /> EleclricalContraclol' MailAddress City Slale/Zip Phone <br /> State License Number Conlracl Prico of Work <br /> Proposed Use oi Building Confad Person (Plan Review) <br /> Descdplion of Work io Do Done: � � <br /> / <br /> � NOTE: W IRING 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 I <br /> 1 hereby ce�ti(}�that 1 have read and examined fhis a lication and know the same lo be true and �1`L�.0" � -j� <br /> correct. All provisionsollaws and ordinarices go� rning this(ype ol�rork�rill be complefed <br /> whether specdied herein or noL Tho granfing o!a pe�mrt does nof xesume to give authority to <br /> violate or cancel fhe pruvisions o1�n}�other stafe orlecalla�5u�gulafing consWction ortho <br /> pedoimance of conslrucfion. 77�af!am aulhoiized by(!�e a�vner oI ihis properiy fo perlomi the <br /> work lor whkh applicafion is made and 1 cornply gith iBe Stafe CenOactors Law 18.27 RCl1�and <br /> 296.200 WA �' " <br /> ' � ,, <br />� ,,\' : % <br /> �, -� "� l��aj��70// <br /> � <br /> �% eture�� Dale � � <br />