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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET. EVERETT, WA 98201 ��3oa -IdD <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 />PROJECT ADDRESS <br />tl`rl L U S SAr� �: ��• - <br />Owner <br />Mail Address city State/ZIP Phone <br />Tenant Mail Address city State/Zip Phone <br />Electrical Contractor Mail Address city State/Zip Phone <br />-ec v r <br />State License Number Contract Price of Work <br />F <br />S- �� 1� i�t ✓0L-'i��f Kt <br />Proposed Use of Building Contact Person (Phan Review) <br />Description of Work to Be Done: A 00 i --- <br />l�� P v'T <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that 1 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 co lcis made and I authorized <br />with the StateaCont actorspLaw 18 perform <br />7 RCW and <br />work for which application <br />296.200 WAC. <br />Signature Date <br />