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/ � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES ��,?--a� <br /> 3200 CEDAR STREET, EVEFETT, WA J8201 �J <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 ACCtPTEO <br /> ► `i iJ r'1tR� 1L� C�ECK �� �kw��i <br /> PROJECT ADDRESS <br /> iti � � c y�s B� �zas <br /> Owner tviail Address City Slate/Zio Phone <br /> iNlc � <br /> ITenant Mail Adtlress City State/Zip Phone <br /> Electrical Conlractor Mail Address Ciry State/Zip Phone <br /> State License Numher Contract Frice of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriplion of Work to Be Done: ���D i✓E � � � T A � /I ��f7NG <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 IS 3105 <br /> I hereby certily th�f I have read and examined fhis application and know the same to be true and <br /> correcL All provis�ons o(laws and ordinances governiny Ihis type ef n�o�k will be completed <br /> whether speci6ed her��n or noL The granting or a permd does not presume to give authonty to <br /> violate or cancel theF �visions olany other state or local law regulating construcLon or the <br /> perlormance ol consiruction. That I am authorized by the owner o/fhis property to peAorm the <br /> work Ior which applicafion is made and I comply with the Stafe Contractors Law 78.27 RCW end <br /> 296.200 WAC. <br /> SJ ✓� �00 `/ <br /> Sign �ate <br /> �yu'1-v� <br />