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Ei ECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - Fr.X 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE IJOT ACCEPTED <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />J 3Z`I <br />Mail Address <br />Mail Address <br />Contractor Mail Address <br />City <br />City <br />Ciry <br />' 2� �� 9 � ; v -o L� <br />�� �r � � , � Cn� NT" <br />State License Number <br />Proposed Use of Building <br />Descriplion of Work to Be Dane: <br />NOTE: WIRING IN NON-DbVELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />State/7Jp <br />Stale/Zip <br />State2ip <br />y �� <br />Contract rice of Work <br />Contact Person (Plan Review) <br />I hereby certity that 1 have read and examined this application and know the same to be true and <br />correct. All pro�;sions ol/aws and ordinances goveming th�s type o/ work will be completed <br />whether speci6ed herein or not. The granting ol a permd does not presume to give authonty to <br />violafe or cancel the previsions c/any other state or local/aw regu/ating construction or the <br />pedormance ol construcuon. That 1 am authorized by the owner of this property to pedorm the <br />work lor which application is made and I comply wi(h the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />Easd3 -o�c� <br />FEE <br />Phone <br />Phone <br />3�0 (nS 0� <br />Phone <br />�1_S 7(0 61� <br />