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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 38201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />33z� 6-��� �� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Electrical Conlreclor <br />State License Number <br />Praposed Use of Building <br />Description af Work to Be Done: <br />Mail Address <br />Mail Address <br />Mail 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 COOE IS 3105 <br />City <br />Cfty <br />City <br />SWte/Zip <br />State2ip <br />Stale2ip <br />Cantract Price of Work <br />Contact Person (Plan Review) <br />1 hereby certily that I have read and examined fhis application and know the same fo be true and <br />correcf. All provisions o( laws and ordinances governing fhis type ol work will be completed <br />whefher speci(ed herein or noL The granting of a pernut does nof presume to give aufhodty to <br />violate or cancel the provisions o(any other state or local law regulating construcfion or fhe <br />peAormance o/ construcfion. Thaf 1 am aufhorized by the owner ol th�s property to peAorm fhe <br />work for which applicafion is made and 1 comply with fhe Sfate Confractors Law 18.27 RCW and <br />296.200 WAC. <br />G <br />s <br />EGsc..�-�s3 <br />FEE <br />Phone <br />Phone <br />Phone <br />