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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 8 CREDIT CARDS ARE NOT ACCEPTED <br />�2 ��%�/'� em�� ���oa � Gl-�l� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Electncal Contractor <br />State License Number <br />Proposed Use of Building <br />Description of Wa� to Be Done: <br />Mail Address <br />Mail Address <br />Mail Address <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN R4CEWAYS, MC OR AC CABLE. <br />CITY OF EVERETI' LOCAL SALES TAX CODE IS 3705 <br />I hereby certi/y that I have read and examined this application and <br />correct. All provisrons of laws and ordinances governing this type � <br />whether specrfied herein or not. Th.e granting o7 a permit does not <br />violate or cance/ the provisions o( any other state or local law regui <br />peAormance of construchon. That I am authonzed by the owner ol <br />wor�or which application is made and I compty with the State Cort <br />/� <br />Ciry <br />City <br />City <br />�e same to <br />will be con <br />0 <br />SWte/Zip <br />S4te21p <br />State/Zip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />e and <br />1 <br />y to <br />(he <br />�and <br />FEE <br />� <br />Eay�a-o3s <br />Phone <br />Phone <br />Phone <br />