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ELECTRICAL PERMIT APPL�CATION <br /> CITY OF EVERETT PERMIT SERVICES g ak_oS <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8910 - FAX 425-257-8857—www.everettwa.org �� go.r I SI,6 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> �� �� G c� •;,"/"%' � � G ! � L- �/�/'� <br /> PROJECT ADDRESS <br /> � � <br /> c�. i�,,:," /�AS /�i'� ,.cc� 1�: L�t�r,iey'/ !,./ — <br /> Owner Mail Address City Slate2ip Phone <br /> Tenant Mail Address Cily State/Zip Phone <br /> (./ �-�/"i".�� <br /> Eleclrical Contraclor Mail Address Ciry State/Zip Phone <br /> Stale License Number Contracl Price oi Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work lo Be Done: G��e— /�(�i�"�✓�� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO F,-F <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certi(y fhat 1 have read and examined fhis applicafion and know fhe same to be tnie and <br /> correct. All provisions ollaws and ordinances govermng this fype o(woik will be complefed <br /> whefher spea6ed herein or noL The granting o/a pennit does not resume fo give authonty to <br /> violafe or cancel fhe provisions o(any other sfafe or local law reguPting consWchon or the <br /> peAomiance o/construction. That I am authonzed 6y fhe owner o/fhis properfy to peAorm the <br /> �vork Ior which application is made and 1 compiy with fhe State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> SignaWre Date <br /> ---� ,���v <br />