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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 4?.5-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 6-- O�—G <'S <br />PROJECT ADDRESS <br />Electrical Conlractor htaii nddress <br />' I � <br />State License Number <br />S F�' <br />Proposed Use of Building <br />Descriplion o( Work to Be Done: <br />WIRING IN NON-DWELLINGS IS REQUIRED TO <br />[3E IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />co�'�6-dc�s <br />Contract Price of Work <br />/� C42S) <br />(�v'1/ , l���r�� �72-`/Yiy <br />Conl Puson (Plan Review) <br />1 heieby certily Ihaf I have rcad and examined fhis �pplication and know the same fo be trire and <br />cenecL A/l provisions o/ Imvs and ordinances govemmg (his type o( �so�k will be completed <br />�rhether spealied herein or not. The c�ranting o/ a pernuf does not resume to give aufhonty fo <br />violate or cancel fhe provisions o/ any ofhcr state orlocal law rec�uPfing construchon or fhe <br />perfonnance ol conshuction. 7hat I am au(horized by the o�vner o/ tfus property to pe�fonn the <br />work for �vhich applicafion is made and I comply wifh the Sfate Confractors Lan• 18.27 RCW and <br />296.200 WAC. % <br />---�,���1 ��/o� <br />. � �.!i' � � ' <br />FEE <br />75 �J <br />�vj"U� UUS <br />