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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 /> IPROJECTA D S—��� �e'I�I�,�C� <br /> yas- <br /> ��.JonE��� ��l)�o<�c�lQ��. C��3oO )�� l�� ����.��rFl�; C�;�i�do3v3�'�s�2� <br /> Owner Mail Address ity State/Zip Phone <br /> Tenanl Mail Address Ciry State2lp Phone <br /> (/G��n9�Li <br /> Eleclrical ConUaclor Mail Address City Stale2ip Phone <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Conlacl Person (Plan Review) <br /> Descriplion of Work to De Done: � /J ����� � /�C�� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE�5 3105 <br /> I hereby certily that 1 hnve read and examineA fhis application and know the same to be We and <br /> corred. All provisions olla�vs and ordinances goveming fhis type oI wo�ic will6e complefed <br /> whefher specd�ed herein or nol. The c�ranfing o/a pernuf dces nof resume to give authonty to <br /> ��iolafe or cancel�he�' ovisions ol any ofher stafe or local law reguPating constn�ction or fhe <br /> perlormance oI caistnicfion. That 1 am aidhorized by Ihe owner o/fhis properiy fo perlomi the <br /> work(or�vhich application is made and 1 cornply with fhe Stafe Confracfors Law 18.27 RCW and <br /> 296200 WAC. <br /> l��/���D � <br /> Signalure D t'e <br /> �o� �� <br />