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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 — �.vvAv.everettvva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />`f Ave <br />PROJECT ADDRESS <br />Owner w <br />Mail Address <br />City <br />State/Zip Phone <br />Tenant <br />Mail Address <br />City <br />State/Zip Phone <br />Electrical Contractor <br />Mail Address <br />City <br />State/Zip Phone <br />Slate License Number <br />Contract Pdce of Work <br />, <br />c rrz e <br />Proposed We of Building <br />Contact Person (Plan Review) <br />Description of Work to Be Done: <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 />I hereby certify that I have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a permit 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 1 am authorized by the owner of this property to perform the <br />work Inr which ampication is made and 1 comnly with the State Contractors Law 18.27 RCW and <br />FEE <br />ci g011" 13w <br />