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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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT A�� ��� � � � <br />Owner <br />Tenant <br />Electrical Conlraclor <br />; 'ail Address <br />Mail Address <br />Mail Address <br />��.r�c�t� ".- �iQ �I Yvt� <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 <br />Cily <br />City <br />ya 5 as�� <br />r,�a -�9?� 3 <br />SWle2ip Phone <br />Slale/Zip Phone <br />�as-a3�-o3�'s <br />3 ��• �ua�Q'1 <br />StatelZip Phone <br />�� <br />o2O0o • <br />Contract Price of Work <br />Contact Person (Plan Review) <br />1 hereby certily fhaf 1 have �ead and examined this application and know the same to be frue and <br />correcL All provisions o/ laws and ordinances governing this type ot work will 6e completed <br />whether speci(ed herein or noL The granting o( a permd does not presume to give authonty to <br />violate or cancel the �rovisions o( any other state or local law regulafing construcfion or the <br />perlormance ol construction. That 1 am aufhorized by the owner of th�s property fo peAorm the <br />work lor which application is made and I compty with fhe Stafe Confractors Law 18.27 RCW and <br />296.200 WAC. <br />r-Ee <br />�����—vvGj. <br />