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ELECTRICAL PERMIT �1PPLI�:ATION <br />CI�Y OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 �2 "��'�G <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org � o�/ 2-o s� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SZ`� Y1�l�cQ�son S�f <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Electrical Contraclor <br />Stale License <br />Proposed Use of Building <br />Description of Wbrk lo Be Done: <br />Mail Address <br />Mail Address <br />Mail Address <br />.I r <br />City <br />Cily <br />City <br />Slate/Zip <br />Stale2ip <br />Slale/Zip <br />Contract Price of Work <br />Conlact Person (Plan Review) <br />Phone <br />Phone <br />Phone <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE Itd RACEWAYS, MC OR AC CABLE. <br />CITY Of EVERETT LOCAL SALES 7AX CODE IS 3105 <br />1 hereby certity thaf 1 have read and examined this application and know the same fo be true and <br />correct. All provisions o( laws and ordinances governing fhis type of work will be completed <br />whether spec; fied herein or not The granting o( a permit does not presurne to give authonty fo <br />violate or cancel fhe provisions o/ any ofher stale or local law regulafing construction or the <br />peAormance o/ construchon. That I am aufhonzed by the owner of this property to perform Ihe <br />work for which application is made and 1 comply with fhe Stafe Contractors La�v it3.27 RCV� and <br />296.200 WAC. <br />FEE <br />C c���a-o5S <br />