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( <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PEr?MIT SERVICES <br />3200 CEDAR STREET, EVERETi, WA 98201 <br />425-257-8810 - FAX425-257-8857—ww�n�.evereti�:a.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8� CREDIT CARDS ARE NOT ACCEPTED <br />�'� �c��l � ��i f e�G�w t� <br />PROJECT ADDRESS L <br />� <br />�oi C <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />/�/,P J�'1 '�/ _ <br />Electrical CoMractor Mail Address <br />State License Number <br />Proposed Use of Building <br />Desr,ription of Work to Be Done: <br />� �/I <br />Ciry <br />�Ity <br />City <br />��' ��ra� s� <br />State2ip <br />Stale2ip <br />Stale/Zip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Phane <br />Phone <br />Phone <br />NOl E: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE I5 3105 <br />I here6y certily that I have read and examined this application and know the same to be true aud <br />correct. All provisions of /aws and ordinances governing this type of work will be completed <br />whether specified he�ein or not The grenting of a pemut does not presume to give authonty to <br />vio/ate or cancel the provisions of any other state or local law regu/ating construction or the <br />peAormance o( construchon. That / am authonzed by the owner c( this prope�ty to peAorm the <br />work for which application is made and I comp/y with the State Contracters Law 18.2� RCW and <br />296.200 WAC. <br />�—�-��� - ---� _ _ i.< `l /_ _ .� /l <br />FEE <br />� oy�a•ii�( <br />