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( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF E�✓ERETT 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 - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> 2-�}0 7- 74 S-�- <br /> PROJECT ADDRESS <br /> Owner Mail Address City State2ip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> Electrical Coniractor Maii Address City Stale/Zip Phone <br /> Stale License Number Contracl Price of Work <br /> Proposed Use o(Building Conlacl Person (Plan Review) <br /> Description of Work to Be Done: ✓�/�(JL(�� ,�/]��n�� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> J � <br /> CITY OF EVERETT LOCAI.SALES TAX CODE IS 3105 <br /> I hereby certily fhaf 1 have read and examined tliis applicati�n and know fhe same fo be We and <br /> correct A/l provisions oRa�vs and ordin:inces governin�this type oI work will be completed �"'���j�� —(}C�v <br /> whether specilied herein or noL The c�ranting ol a pernut does not resume to give aulhonty to � <br /> violate or cancel the piovisions oI any ofher sfate or local law reguPating construction or the <br /> perlonnance ol construclion. That 1 am autho�ized by the owner o�this property to pedonn fhe <br /> work Ior which application is made and 1 comply�vith the Sfate Confractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> �� , � �-. <br /> /� J� <br /> 5 ature Date <br />