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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 />/U/b$ /YJQATAn/a /"w�4/> !r � 3 <br />PROJECT ADORESS <br />l��� Ec..vnn /�."�i <n �• r?u • dox �VS LK �-EUCY� S �� zSP yzs ��S6 ��G � <br />Owner Mail Address City State2ip Phone <br />Tenant <br />Eleclrical Contractor <br />Stale License Number <br />Mail Address <br />Mail Address <br />S'� � <br />Proposed Use o( Building <br />Description o( Work to Be Done: �� / ���x <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 />State/Zip <br />State2ip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />FEE <br />1 hereby certify that I have read and examined this application and know the sarne lo be true and <br />correct. AN provisions ollaws and ordinances govemmg flns type o/ work will be completed <br />whether speci6ed herein or noL The granting o( a permd does nof piesume to give authonty fo <br />violate or cancel the provisions o/ any other s(ate or /ocal law regu/ating construcLon or the <br />per(ormance of construchon. Thaf 1 am aufhonzed by fhe owner o( this p,-operty to peAorm !he <br />work lor which applicafion is made and ! cornply �vith the State ConVactors Law 18.27 RCW and <br />296.200 WAC. <br />Z�o <br />Phone <br />Phone <br />