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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES Q <br />3200 CEDAR STREET, EVERETT, WA 98201 �— I� '"� O <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org �� ���-0a ( <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />? �� b S(�.1-e_ 5� z`ur.�H tJ J� �iF�vl <br />PROJECT ADDRESS <br />Ownef <br />Tenant <br />Electrical Coniractor <br />Sla�e License Number <br />i <br />� � <br />J S d r. l:'o. <br />Proposed Use of 8uilding <br />l .�, <br />Mail Addross <br />Mail Address <br />Mail Address <br />Descriplion ol Work to Be Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />Ciry <br />Ciry <br />Ci�y <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 7705 <br />I hereby certily fhaf I have reod and ezamined Ihis applicafion and know Ihe <br />correcf. All provisions ol laws and ordinances goveming this type o( work w <br />whether specilied hemin or nof. The granfing ol a permR does nof presimie <br />violate or cancel I/re provisions ol any other stafe or locnl law regu/afing con <br />perlomiance o/ consfmcfwn. Thaf I am aufhonzed by fhe owner ol this proF <br />work lor whiclr application is made and 1 compty wifh fhe Sfate Con(racfors I <br />y� �Yr-o fc <br />Slate2ip Phone <br />Stalo/Zip Phone <br />State2ip <br />Contract Pricc of Work <br />Conlact Person (Plan Review) <br />e to be fn�e and <br />complefed <br />✓e aufhonty fo <br />fion or fhe <br />'o perform fhe <br />'827 RCW and <br />Phone <br />FEE <br />�" S C�C) <br />� ���5-osy <br />