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ELECTRICAL PERMIT AP�LICATION <br />CITY OF EVERETT PERMIT SERVlCES <br />3200 CEDAR STREET, EVERE7T, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />1 7 LJ cSJ GcJ.� �N�`I S% <br />PROJECT ADDRESS <br />Tenant <br />Electrical Contractor <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done: <br />Mail Address <br />Mail Address <br />Mail Atldress <br />Ciy <br />Cfty <br />Clty <br />(�f/ � <br />SUIe/Zip <br />Stale2ip <br />Slate/Zip <br />Contract Price of Work <br />yL> y��y�ti <br />Phone <br />Contact Person (Plan Review) <br />Phone <br />Phane <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABIE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby certily that I have read and examined this application and know the same to be true and <br />conecL AN provisions ol /aws and ordinances governmg this type o/ wock will 6e completed <br />whefher speci�ed berein or not The granting ol a prr,nit does no; presume to give aufhonty to <br />violate or r.ancel the prcvisions ol any other state or,ocal la�� ,-�gu/eting consfructron or the <br />peAormance o( construcfion. ihat I am authonzed 6y the o Nner o/ this property to peAorm the <br />work /or which application is made and I comply with fhe Stefe Contractors Law 18.27 RCW and <br />�I(1C-�IA/1 IA/A (� <br />��_ ����✓� ���/ /- / � ` <br />FEE <br />