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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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DE81T 8 CREDIT CARDS ARE NOT ACCEPTED <br />i" 7 (� ��� �tJ:a /,,,,:`I S � <br />PROJECT ADDRESS <br />� <br />Tenant <br />Electrical Contractor <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done: <br /><: - <br />Mail Address <br />Mail Address <br />Mail Atldress <br />� ��.�P�r <br />City <br />ciry <br />Ciry <br />State2ip <br />State2lp <br />Contract Pnce of Work <br />�/1.> yiY9iv <br />Phone <br />Contact Person (Plan Review) <br />Phone <br />Phone <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 hereby certily that I have read and examined this application and know the <br />correct. Al! provisions ollaws and ordinances goveimng th�s type oI work w <br />whether speci(ed herein or not. rhe granting o/a permrt does not presume <br />violate or cance/ the provisions o/any othe� state or local la�v regu/ating con <br />peAormance ol construchon. That I am authonzed by the owner ol this prop <br />work /or �yhich applicatiun is made and I como/v with the Slare Cnntrarrr,.� � <br />= to be true and <br />campleted <br />re authonty to <br />tion or the <br />o pedorm the <br />8.27 RCW and <br />FEE <br />