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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERtTT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �f �;� �,; ,�, �� <br />� <br />��,� �C�e � ��� <br />PROJECT ADDRESS <br />Tenant <br />i� <br />Electrica� Contractor <br />Slate License Number <br />`�� <br />� � ->�:�,� <br />Propose�e o( Bullding <br />Description of Wark lo Be Done: <br />r� �, <br />Mail Hddress <br />Mail Address <br />Atail Address <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 />,., �, <br />_ ] .-�- <br />City <br />City <br />Cily <br />[_ G��9—/� 3 <br />StatelZip <br />StatGZip <br />Stale2ip <br />Contract Pricc of Work <br />Contact Person (Plan Revie�:-) <br />I hereby certily (haf I have : ead and exanuned fhis application and know fhe same to be fnie and <br />correcf. All proviswns of la�vs and ordinsnces governuia this type ol work �vill be cornpleted <br />whether specilied herein or not The granfing oI a pemut does nol p�esume to give authonry to <br />violale or cancel Ihe provisions oI any ofher sfafe or local law regulating construchon or Ihe <br />perforrnance o/ consVucfwn. Thal I am authorized by the owner o( this property to peAorm the <br />work (or which application is rnade and 1 compfy wifh tlie State Contracfors La�v 18.27 RCW and <br />296200 WAC. <br />,�� �,_-z ���� - �3 7 (i: <br />s�m,����� : — o,� � <br />Phone <br />Phane <br />Phone <br />FEE <br />�v� - I �3 <br />