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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �_ �� _ 1 I <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org C �� OI �—OD � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />n� �,� �P� f l�� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Electiical Contraclor <br />�e►��s�`� ►53 �U <br />Slale License Number <br />l .11�� A �Y �� <br />Proposed Use o( Buiiding <br />Descriplion af Work to Be Done: <br />Mail Address <br />Mail Address <br />Mail Address <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAl( CODE IS 3105 <br />City <br />City <br />Cily <br />Stale/Zip <br />StalelZip <br />State/Zip <br />�SDO:� <br />CocVacl Price of Work <br />Conlacl Person (Plan Review) <br />f hereby certily thaf I have read and examined this applicafion a�id know fhe same to 6e We and <br />correct. Al/ provisions ollaws and ordinances governing fhis type ol wor1: will be completed <br />whether specilied herein or not The granling oI a perrnd does nof presume fo give euthonty fo <br />violafe or cancel fhe provisions ol any ofher stafe or local law regulafing conslruclion or the <br />performance of consfruction. Thaf I am aufhonzed 6y fhe owner o( this propeRy fo p�Aomi fhe <br />work lor wh�ch application is made and 1 comply wifh fhe Sfate Contractors Law 18.27 RC W and <br />296.200 WAC. � <br />FEE <br />Phone <br />Phone <br />Phone <br />v �eo I 0� <br />