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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 - ww�v.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />-/-r f r Srn �ic-» 'L :•= .5 <br />tjCGf,j'� � <br />5�00 � s�' �� �o/�'or /✓ssr0.�. <br />PROJECT ADDRESS <br />Qwner <br />Tenant <br />Aiail Address <br />Mail Addmss <br />Cily <br />Clly <br />Stale2ip <br />SWtMZip <br />Phone <br />Phone <br />S �/" - - <br />Electrical Coniractor Mail Address City �Ia�e�Zip Phon^ <br />/�- f�G'°,`'� — <br />Slale License Number Conlr2cl Price of Wark <br />Proposed Use of Buildinq <br />Descriplion af Work lo 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 />Conlacl Person (Plan Review) <br />1 hereby certilv fhaf f have read and examined fhis applicaticn and know fhe same to be We and <br />correcL All piovisions ollaws and ordinances govenung fhis fype of work will be complefed <br />�vhether spea(ed herein or noL The granfing o! a penruf does not resume fo c�ive authonty to <br />violatv or cancel fhe Provisions oI any other sfate or local faw reguPting constn�ction or the <br />perforrnance o/ const�ucfion. ihaf 1 arn aufhonred 6y the owner oI this property to pedomi the <br />work for �rhicfi application is made and 1 comply with fhe Stafe Contracfors Law ]8.27 RCW and <br />296.2U0 WAC. <br />FEE <br />