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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 <br />2 L0 [P � i' yut re <br />PROJECT ADDRESS <br />Ti <br />1 ` 1/� Yi <br />Owner <br />Mail Address <br />Tenant Mail Address <br />Contractor Mail Address <br />State <br />f License �I <br />Number <br />ropos ubu of ouilunU <br />Description of Work to Be Done: <br />NOI E: 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 />City <br />VA <br />State/Zip Phone <br />City Slate/Zip Phone <br />I <br />City Slate/Zip Phone <br />d Zod y5°j <br />Contract Price of Work <br />Aynf he�doy, , <br />Conlac Person (Plan Review) <br />pa5(?� <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 flits type of work will be completed <br />whether specified herein or riot. The granting of a pemuf does riot resume to give aufhonfy to <br />violate or cancel the provisions of any other sfafo or local lacy regulating construction orthe <br />to mianceofconsiruction. Thal I ant authorized by fhe owner of flits property fo perform fhe <br />urnr which annfication is made. and I comoly with the State Contractors Law 18.27 RCW and <br />'ri-II- l ( <br />FEE <br />