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ELECTRIC/�►L PERMIT APPLICATION <br />CITY OF EVERETT PERFVIIT SERViC�S <br />3?_00 CEDAR STP.EET, EVERETT, WA 9�201 <br />425-257-8310 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS R,R[ ACCEf'TED FROM 8 AM TO �S PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />' � l0 /h4�; So� tU� _ <br />PROJECT ADDREa'S <br />Su � l�oR rodl <br />Owner Mail Address City State/Zip Phone <br />Tenant <br />Electrical <br />A��ll� oe �6zk6 <br />Sta e License Number <br />Mail Address <br />Mail Address <br />f; <br />�e S�De�Ce — <br />Proposed Use of Building <br />City <br />City <br />State/Zip <br />��Z�f <br />State2lp <br />C ��� � � <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to BE Done: � Z� � S`'\�� �` C� a� �'� <br />NOTE: WIRING IN NON-DWELLINGS I5 REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CA6LE. <br />CITY OF EVERETI' LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that ! have read and examined this application and know the same to be true and <br />correct. All provisions of /aws and ordinances governing th�s type of work will be completed <br />whefher speci�ed here�n or noL The granting of a permit does not presume to give aufhonty to <br />violate or cancel the provisions of any other state or /ocal law regu/ating construction or the <br />peAormance o/ consVucfion. That I am authorized by the owner o( this propeRy to per(orm the <br />work for which application is made and I comp/y with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />��s <br />FEE <br />Phone <br />Phone <br />