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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CFDAR 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 />530 5W Lyem,>x � <br />PROJECT ADDRESS <br />Owner Mail Address city State/Zip Phone <br />Tenant Mail Address Ofty Slate/Zip Phone <br />Electrical Contractor Mail Address City State/Zip Phone <br />Slate License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Square Footage (If residential new construction, remodel or addition) <br />Description of Work to Be Done: 11m ((� <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. vD <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that 1 have read and examined this application and know the same to be true and I , O <br />correct. All provisions of laws and ordinances governing this type of work will be completed Z� <br />whether spewed herein or not. The granting al a permit does not presume to give authority to <br />violate orcancelthe rovisionsofany other state orlocal law regulatingconstruction orthe <br />performance n ruction. That I am authorized by the owner of this property to perform the <br />work for whi appli ation is made and 1 comply with the State Contractors Law 18.27 RCW and <br />296.200 C. <br />e to <br />