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. � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT 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 - DEBIT &CREDIT CARDS ARE NOT ACCEPTED <br /> / � �� S ��%N� S� <br /> PROJECT ADDRESS <br /> i <br /> ��f ��z���✓ �� �, ui,� ��a� > <br /> Owner Mail Address City State2ip Phone <br /> Tenanl Mail Address City Stale2lp Pho�e <br /> /l.� /i e� <br /> Electrical Conlraclor Mail Address City Stale2ip Phone <br /> Slate L(cense Number Conlract Price of Work <br /> Proposed Use o(Building Contacl Person (Plan Review) <br /> � <br /> Description of Work lo Be Done: ���'� �l,��C.(� ���� /7 �� ������ <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAl(CODE IS 3105 <br /> I hereby certi(y that 1 have read and examined this application and know the same to be tnre and <br /> conect. All provisions ollaws and ordinances goveming this fype ol work will be completed <br /> whether speci�ed herein or nol. The granting of a penmt does not presume to give authonty to <br /> violate or cancel the provisions oI any other state or local!aw regulating construction or the <br /> peAormance o/construchon. Thaf 1 am a�dhonzed by the owner o/th�s property to perlorm the <br /> work/or which application is made and 1 comply with the Stafe Confractors Law i8.27 RCW and <br /> 296.200 WAC. <br /> � 1 � • <br /> ,��-°i`� ( C,�"����L.�- ��� '" �� 5 <br /> SignaWre Dale /� � <br /> ���� � C <br />