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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 a 9_12 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />IgOZ <br />PROJECT ADDRESS <br />J <br />Owner <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />Mail Address <br />Tenant Mail Address <br />Electrical CMtractor Mail Address <br />Fi1Fn c Fs �dy <br />Slate License Number <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Description of Work to Be Done: <br />City <br />State/Zip <br />City State/Zip <br />City State/Zip <br />Contract Price of Work _ <br />Contact Person (Plan Review) <br />Phone <br />Phone <br />Phone <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 />I hereby certify that I have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be. completed <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />the <br />pviolate or erforman encel of construction provisions <br />I amother <br />authorized be or y the law <br />ownerth property construtop or <br />the (� I , 185 <br />work <br />r 2for WAC application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />