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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 />ly�� S <br />PROJECT ADDRESS <br />S�Q��� <br />Owner <br />� � � <br />Tenant <br />APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM I�/�i/� �,vb <br />�, �V� <br />-Ls � �- � <br />Mail Address <br />Mail Address <br />rc,c=P�/t,( C- <br />Elecfrical Conlraclor Mail Address <br />�� <br />Cily <br />City <br />�° , <br />Ciry <br />-- -- ' a <br />�-��� _—p •��� � �–�c�--c � a�r3 �� <br />Stale License Number <br />�I c�ar�..� <br />Proposed Use o( Building <br />Descriplion of Work to Be Done: <br />NOTE: WIRING IN NON-DWEl.LINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Slale2ip <br />State/Zip <br />Slate/Zip <br />3;�oC�, <br />Contracl Price of Work <br />Conlast Person (Pi�n Review) <br />I hereby cerfriy thaf 1 have read and exantined this application and know the same to be We and <br />correct. All provisions of laws and ordinances governmg fhis type of work will be completed <br />wlteflier specilied herein or not. The granfing o( a permif does not presume to give authority to <br />violafe or cancel fhe provisions o( any ofher slate or local law regulating consfruction or the <br />periorrnance o/ consfrucfion. That 1 aSn authorized by tl owner o( fhis property to per(orm the <br />work (or which applicalion is made and 1 comply �vith: tf1�Slate Contracfors Law 18.27 RC W and <br />296.200 WAC. . ', i� <br />L� <br />Ec��-�� <br />FEE <br />Phone <br />Phone <br />Phone <br />