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I <br />ELECTRICAL PERMIT APPLICAT�ON <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - F/�X 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM i O 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />/`fl�L �� �Are� (��al'1 U��,� <br />PROJECT ADDRESu <br />Owner <br />Tenant <br />vec; za�l <br />Electrical Contractor <br />Mall Address <br />Address <br />' i� <br />Mail Address <br />� J�< iZ� �� ��5 M-� <br />State License Number <br />Proposed Use of Buil�ing <br />Description of Work to Be Done:_ ��� I <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />City <br />City <br />City <br />� <br />State2ip <br />State2ip <br />Phone <br />Phone <br />StateZp � Phone <br />�� � <br />Contract Price of Work <br />a. )P S nnc./' <br />Contact Ferson (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily that I have read and examined this application and know the same to be true and <br />conect. All provisions ot laws and ordlnances governing this fype of work will be completed <br />whether speci�ed herein or not. ihe granting of a permit does not presume to give authonty to <br />vio/ate or cancel the provisicns of any other state or local law regulating construction or the <br />peAormance o( construction. That 1 am authorized by the owner o( th�s propeRy fo peAorm the <br />work (�which applicatron is made and 1 comply with the State Contractors law 18.27 RCW and <br />� <br />FEE <br />