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� <br />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.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT B CREDIT CARDS ARE NOT ACCEPTED <br />3•?D � Gv� v�c <br />PROJECT ADDRESS <br />Tenanl <br />Electrical Conlraclor <br />��$ �ECr)r� (� n 2 <br />tate License umber <br />Proposed Use o( Building <br />Mail Address <br />Mail Atldress <br />Address <br />Description of Work to Be Dane: _ _ � ,' �,%� � � ' <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN R.4CEWAYS, MC OR AC CABLE. <br />CITY OF EVERET7 LOCAL SALES TAX CODE IS 3105 <br />City <br />City <br />Ciry <br />Stare/Zip <br />Slate/Zip <br />l�o . �� <br />Con ac Price o( Work <br />Contact Person (Plan Review) <br />_.� '� <br />� _ <br />.;: �i-f <br />I hereby certily thaf 1 have read and examined this applicafion and kno�v fhe same to be tnre and <br />correct. All provisions ol laws and ordinances goveming this type ol work will be cemp/eted <br />whether specihed here�n or not. The grantmg of a permd does not presume to give authonty to <br />v�olale or cance/ the provis�ons.rif'�y ofher stafe or localla�v regulating consWction or the <br />peAormance ol constructio�/7hat 1 am aufhonzed by the avner of this property to peAerm the <br />werk lor �vhich a � ��fs m�de and 1 comply wRh the State Ccntraclors Law 78.27 RCW and <br />FEE <br />�-�� ��y <br />Phane <br />Phone <br />Phone <br />