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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES '? _ I/ /( <br />3200 CEDAR STREET, EVERETT, WA 98201 (; toI(OK `Go3 <br />425-257-8810 - FAX 425-257-8857 — lvww.everelhva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />A <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />City <br />City <br />State/Zip <br />State/Zip <br />as7 c <br />Phone <br />Phone <br />caw f)vL, <br />Electrical Contractor Mail Address City State/Zip Phone <br />Stale License Number <br />Proposed Use of Building <br />Description of Work to Be Done: <br />k- 0'1f G <br />Contract Price of Work <br />Contact Person (Plan Review) <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 ))�_ ; 1 I u <br />1 hereby certify that 1 have read and examined this application and know the same to be five and —� <br />correct All provisions of laws and ordinances goveming this type of work will be completed <br />whether specified herein or not. The granting of a pemut does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That lam authorized by the owner of this properly to perfomr the <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RC W and <br />296.200 WAC. <br />oocw 6 (1_)z_ 9, I /1 <br />