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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �`� 3 _off <br />3200 CEDAR STREET, EVERETT, WA 98201 , / <br />425-257-8810 - FAX425-257-8857—www.everettwa.org E-0808-0� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT d CREDIT CARDS ARE NOT ACCEPTED <br />51y t= A rl <br />PROJECT ADDRESS <br />O rr Mail Andmaa city —~ slww7jp Phone <br />Tenant Mail AAdre" CIA' StatelZlp Paona <br />ClccfrirAl Contractor Mae Aooresv city st,tyyp Phone <br />State Ucense Number Contract Price of Work <br />Proposed Use of Building I/ Contact Person (Plan Review) <br />Dc$rri0on of Work to Be Done: <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF F.VERETT LOCAL SALES TAX CODE IS 3105 r^ <br />1 haeb`cort that; have read and oxamined this epglica(wand know the same to be true and �� {� � <br />ewrec. All p ostons of lava and ordmanoes am rmmg this We of work wifl be completed <br />whether specitiod herein oryrot. The ting of a pormtt does not Urewme to give authority to <br />vrolate or t.-aacr/ lyre prmsions of an}�other state tr local law regii aling construction or the <br />performanw nt construction. That I am authorized by the owner of this property to perform the <br />Nark for which application Is merle and I comply with the State Contractors Law 78.27 RCW and <br />296 200 WAC <br />ryonRue ate <br />