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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-a857 —wv✓w.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> '.->C�i� =. �l�'�f" �-��I �/_ �', <br /> PROJECT AD�RESS <br /> �Z"' <br /> � <br /> 1����';.� �-{ , ��L�-��;� ��03 zS2�3_�- G. <br /> Owner Mail Address City Stalc2ip Phone <br /> Tonanl Mall Addicss City Slate Lp Phone <br /> EleclricalContraclor MailAdAics Cii� StaU�:Zin Phonc <br /> State License Numbei Conlracl Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriplion of Work l0 6e Done: <br /> NOT[: 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 mrtily(hat 1 have read and en�antined this applicafion and know the same!o be true and <br /> correc(. All prot�isons o/Imrs and ordinances goveming fhis type ol wo�k�vill be complefed <br /> whefher specilied hercin or noL The granfing ola pemut does not presume fo give aulhonty fo <br /> violafe or cancel fhe I�rovisians o(any ofher sfafe or local law regulafing construcfion or fhe <br /> per/omiance of construdion. Thaf 1 arn authorized by the o�sner ol this properiy lo pedonr. fhe <br /> work lor whi�h applicafion is made anAl cornpl}'�+'ith the Sfate Confractors Law 1827 RCW and <br /> 296200 WkiC. <br /> / <br /> �� i//�i <br /> Sipnature D9le <br /> �- t .,�=`-�- �7�- <br /> I� _ _---- — .. — <br />