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i„i n;, n,7 n?,t�n <br />P.t <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR, STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — v✓vvw.eve rettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS Y zs <br />Owner Mall Address City SIaleiZip Plane <br />Tenant marl Addrosy City State/ZIP <br />Electrical Contractor Mall Address City StstemD Phone <br />State Lfcense Number Contract Price of Work <br />SF w <br />Proposed Use of 6ulldin0 Contact Person (Plan Review) <br />Description of Work to Do Done: <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 />1 hereby certify that I hove read and examined this application and know the same to be true and <br />corrocL All provisions of laws and ordinances governing this type cf wcrk will be completed <br />whether speclfied herein or nct. The granting of a permit does not resume to give authority to <br />violate or cancel the pprovisions of any Other state or loco/ law regulating consfruotion or the <br />performance of construct cn. That I am authortzed by the owner of thls roper6, to perform the <br />work for which applroetlon Is made and I comply with the State Contractors Law f e.27 RCWand <br />296.200 WAC <br />�pnature ate <br />�.V7 l'i7 -CCJ J <br />