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ELECTRICAL PE�MIT APPLICATION <br />CITY OF EVERETT 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 & CREDIT CARDS ARE NOT ACCEPTED <br />��-�'�' � T - <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Electrical Contractor <br />filoil Address <br />Mail Address <br />E Stdtl <br />Mail Address <br />�� !� u <S I �l �- �t' <br />State License Number <br />�� f'� <br />Proposed Use of Building <br />Description of Work to Be Done: <br />�I NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN R.4CEWAYS, MC OR AC CABLE. <br />CITY OF EVERE'1T LOCAL SALES TAX CODE IS 3105 <br />o q �?� -� k V�n. <br />l c�i� sca��iz�P <br />City Slate/Zip <br />City <br />State/Zip <br />Contract Price of Work <br />�:�z <br />i3 yy <br />__�!�c� I <br />Phone <br />Contact Person (Plan Review) <br />y certi/y fhat I have iead and examined fhis app.'icallon and know the same tc be true and <br />. All provisions of laws and adinances governmg :his type of work will 6e compfeted <br />�r speci6ed herein cr not The granting of a permd does not presume to give authonty to <br />or cancel the provisions of any o(her state or local faw regulating construcfien or the <br />iance of construction. That l am authorized by the owner of this property fo perform the <br />r which appli�aiien is made and 1 comply with the Sta�e Contractcrs Law 1827 RCW and <br />FEE <br />�S° �' <br />�a5og' I d�- <br />