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ELECTRICAL PEt�MIT i4PPLICATION <br />CITY OF EVERETT PERMIT SE�2VICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AA1 TO 4 PM <br />� � � <br />_ �'r"7�� / �; ,l,..� �� ,� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />�; i <br />� ' �l� n� -���. <br />Electrical Conlraclor Mail Address <br />Slate License Number <br />Proposed Use of Building <br />Description of �Vorh to De Don =: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />City <br />Ciry <br />S�ate/Zip <br />SWte/Zip <br />State/Zip <br />Conlract Price of Work <br />Contact Person (Plan Review) <br />1 hereby certily thaf 1 have �ead and examined this application and know the same to be true and <br />conect. All provisions ol laws and ordinances governmg th�s type o( work �vill be completed <br />whether speci�ed herein or not. The grantin� o( a permd does nof presuma to give authonty to <br />vio/ate or cancel the p�ovisions ol any other sfafe or /oca! la�v regulafing consUuc6on or the <br />peAormance ol construcUon. That ! am authonzed by the owner o! fhis �roperty to peAo�m the <br />work /or which application is made and I compty wifh the Stafe Contractors La�v 18.27 RCW and <br />�n� onn ieinr� <br />�/r�67 <br />o �z � <br />FEE <br />Phone <br />Phone <br />Phone <br />