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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 <br />--: 3 � � ��Ns 5 � <br />PROJECT ADDRESS <br />Owner <br />Mail Address <br />�,-/ <br />E��f-2E-� 1,� � <br />City State/Zip <br />Phone <br />�/�! <br />T�nanl Mail Address City Slate/Zip Phone <br />Eleclrical <br />Slate License <br />�r` s i,L�� ���r c <br />Proposed Use o( Building <br />Description of Work l0 8e Done: <br />Mail Address <br />Cily <br />Stale/Zip <br />Conlracl Price of Work <br />Contact Person (Plan Review) <br />Phone <br />f% > ,C'fCi C( (�.Nli <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 />FEE <br />I hereby certily thal 1 have read and examineA fhis application and know fhe same fo be Irue and ��,� C�' _` <br />correct. All provisions olla�vs and ordinances governmg fhis type ol work will be completed , � <br />�vhether specil�ed herein or not The c�ranfinc� ol a pernuf does nof resume fo give aufhonty fo <br />violate or cmicel fhe provisions oI any other stafe or local la�v reguPting consfruction or the <br />per/ormance oI constn�chon. Thet I t�m aufhorized by fhe owner ol fhis property fo per/orm the <br />work (or �vhich application is made and 1 comply with the Sfate Confractors Law 18.27 RCW and <br />296.200 WAC. <br />