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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 />S� <br />PROJECTADDRESS <br />Owner <br />Tenant <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />������'. <br />Ma;l Address <br />MailAddress <br />Electrical Conlractor Mail Address <br />� �� �1.L�`'�I`�77,Q"I <br />State License Number <br />Proposed Use of Bui�ding <br />Square Footage Qf residenlial new construction, remodel or addilion) <br />Description of Work to Be Done: <br />I� <br />City <br />City <br />City <br />Slale/Zip <br />Sla�e/Zip <br />�� <br />Phone <br />Phone <br />Slate2ip Phone <br />���y' � <br />� 1l01.N, � <br />CoMract Price of Work <br />Contact Person (Plan Review) <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 here6y ceRiry Ihaf 1 have read and examined this applicalion and know Ihe same to be frue and <br />correcf. ,411 pmvisions o//aws and o�dinances goveming (hrs type of work wdl bo completed <br />�vhefherspecified hemin ornoL The granting o(a permrt does no( resume to give aufhonty to <br />violafe orc�ncel the pmvisions oI any oth�rsfafe orlocallaw reguPting construcbon orthe <br />pedonnance o/cons6uction. Thaf 1 am authonzed by fhe ownero/lhisp roperty to peAorm the <br />work (or which applicafion is made and 1 comply with (he Stato Contrac(ors Law i8.27 RCW and <br />c nnn ie,.nr� <br />FEE <br />��;v� <br />� 1 z0 �` �7� <br />