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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 425-257-8357 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />t^ <br />PROJECT ADDRESS <br />Owner Mail Address City State2io Phone <br />Tenant Mail Address City State/Zip Phone <br />(X0I e <br />Electrical Contractor Mail Address City State/Zip Phone <br />State License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Bo 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 have read and examined this application and know the same to be live and <br />correct. All provislons of laws and ordinances governing this type of work will be completed <br />whether specirred herein or not. The granting of a pemut does not presume to give authority to <br />violate or cancel the previsions of any other state or local law regulating construction or the <br />perfomrance of construction. That lam authorized by the owner of this properly to perfoan the 101 <br />work for which application Is made and 1 comply with the State Contrac ors Law 18.27 RCW and <br />296.200 WAC. I <br />I <br />/ Signature ale <br />` r <br />