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ELECTRICt�.L PERMIT 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 />i� �� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Eleclrical ,r.ontraclor <br />State License Number <br />l q.zAr:r- <br />Praposed Use of Building <br />�j-- �`,` _ -.. <br />i. - <br />Description of Work to Be �ane: <br />i/ /. � <br />t.1�il Addxss <br />;dail Address <br />hlail Adaress <br />i %�� '- L � <br />c�ry <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />City <br />City <br />State.�Zip <br />StatelZip <br />State/Zip <br />Contract Price of Wor!c <br />Contact Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certilv thaf ! have read and examined this application and know fhe same to be true and <br />cerrecL All piovisions oi laws and ordinances governing this type o( �verk �vill6e completed <br />�vhefhe� speciiied herein or neL The granting ol a permd does not presume to give authority to <br />viclate or cancel the provisicns oi any other state or local law regulating consfruction or the <br />perlormance oI construc6on. rhat I am authonzed by the ow:;er oi th�s property to perlorm the <br />�vork lor which app�icaticn is made and I comply with the State Contrac,ors Law ; 8.27 RCW and <br />296.200 WAC. <br />. _�._ � i/i <br />FEE <br />c <br />Phone <br />Phone <br />Phone <br />Cl:+�{ il —�Z �� <br />