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ELECTRICAL PERMIT APP! ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �� 3/-07 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org � 070 ��9 � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��-/� ; i <br />PROJECT ADDRESS <br />Stale License Number <br />_, �. <br />L5� S�� ��'- <br />Proposed Us`c of Buildinc� <br />Descriplion of Work to Da Done: ,�� <� ', % <br />NOT[: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />DE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Contact Person (Plan Review) <br />1 heieby certily (hal 1 have read and esamined (his applicalion 3nd kno�v fhe same to be true and <br />correcL All provisions ol la�rs mid ordinances go��ernmg fhis type ol work �rill be conrplefed <br />�a�hefher speci(ied herein or noL The c�ranfing o/ a perrnrt does nof presume to give authonty fo <br />violafe or cancel Ihe pro��isions o/nny ofher s(afe or local law regul��fing consfn�ction or fhe <br />perlormance o� cons(ruchon. That 1 am aufhoiized by fhe o�vrer o/ fhis property to pedorm the <br />work !or �; liich applicafion is made and I comply with (he Stafe Contractors Law 18.27 RCW and <br />296.200 Ll'AC. <br />FEE <br />