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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 - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />�� /d l Y� 6 n rA n rt <br />PROJECT ADDRESS <br />��+"� L�s-r <br />�/Z) <br />LAKC�/-bJ0 �i*�IviEf 7A G. �� .�un �`l..`�i 1-�- STc�L`cr�S �G�� 3iG �)47 <br />Owner Mail Address Ciry Stale/Zip Phone <br />Tenant <br />Electrical Contraclor <br />State License Number <br />S'F/'.. <br />Proposed Use of Building <br />Mail Address <br />Mail Address <br />Description of Work to Be Done: %t �!' iiU u+�� <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 />City <br />City <br />SWte/Zip <br />Slate/Zip <br />Contract Price of Work <br />Conlact Person (Plan Review) <br />1 hereby certi(y fhaf I have read and examined fhis application and know the same to be true and <br />correcl. A/l provisions ol/aws and ordinances governing fhis type o/ work will be comp/eted <br />whefher specilied herein or noL 7he granting ol a pernut does not resume lo give authonry to <br />violate or cancel the provisions of any other state or local /aw reguPting construction or the <br />peAormance o/ construc6on. Thaf 1 am autho�ized by the owner o/ fhis property to perform the <br />work for which applicafion is made and 1 comply with the Stafe Contracfors Law 18 27 RCW and <br />296.200 WAC. <br />FEE <br />Phone <br />Phone <br />