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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEP,ETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />33og .�vna 5-E- <br />PROJECT ADDRESS <br />L L. ( C <br />Slate License Number <br />Proposed Uso of Buildinc� <br />Doscriplicn o( Work lo Oa Done: <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 />��d <br />Conlract Price of Work <br />Contact Person (Plan Review) <br />1 hereby certily that I hove read and examined this applicafion ond know fhe same to be true and <br />corract. All provisions ollaws and ordinances c�ovemmg fhis type ol work will be cornpleted <br />u�hefher specified herein or noL The c�ranfin� o/ a pernut does not resume to c�ive authonty to <br />violafe or cancel fhe provisions oI any ofher stafe or local law reguPting construction or fhe <br />performance oI construction. Thaf 1 arn uufhonzed G}� the owner o/ this property to peAomi fhe <br />work !or which applicatron is made and 1 compty with the Sfafe Contrac(ors Law 18.27 RC W and <br />296.200 WAC. <br />FEE <br />r <br />� �i�'�% <br />C U10-1.- G`"i � <br />