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PROJECT ADDRESS <br />t <br />ELECTRICAL PERMIT APPLICATION <br />01 <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-25 r -8810 - FAX 425-257-8857 — www.everettwat.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM Im <br />3�37 e96 <br />Owner Mail Address City State/Zip Phone <br />a� 4 <br />Tenant Mail Address City Slate0p Phone <br />Address <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done: <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 />City State/Zip Phone <br />,60, 0-o _ <br />C tract Once of Work <br />Contact Person (Plan Review) <br />1 heroby certify that I have read and examined this application and know the same to be true and <br />corroct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a permut does not resume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That I am authorized by the owner of this property to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />298.200 WAC. <br />