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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.evere;twa.org 'Z_ �C� —O� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br /> D �s �� v� L—v.� %�� <br /> PROJECT ADDRESS <br /> � /. i � � k� 3 �/ y��,z <�� �� <br /> , <br /> - � o <br /> Owner Mail Address Ciry Stale/Zip Phone <br /> Tenant Mail.4ddress City State2ip Phone <br /> El�ic�ntractor Mail Address City State2ip Phone <br /> State License Number Conlract Price of Work <br /> Froposed Use of Building Contacl Person (Plan Review) <br /> Description of Work to Be Done: '�' ��- <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify that 1 have read and examined this apA���atl9n and know the same fo be true and � <br /> correct. AI!provisions o/laws and ordinances govemmg fhis rype of work will be comple�ed � <br /> ,vnether speci(ed herein or not The granting o(a permrt dces not presume to give aufhonty to <br /> viaate or cancel the prowsions oi any other s(ate or/ocal law regulating consWchcn or the <br /> periormance o/construchon. That I am authonzed by the owner of this property to per(orm the _ <br /> wcrk lor which application is made and 1 comply wdh the State Confractors Law 18.27 RCW and / � ' <br /> 296.200 WAC. (�`�� <br /> , �A�V \ <br /> _ , � <br /> i� 1✓ <br /> I Date v <br /> SiSnawre <br /> � <br />