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ELECTRICAL PERMIT APPLICATl�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREl?, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCE�TED FROM 8 AM TO 4 PM <br />�u I ` � ��' ,1�1-2. U�� <br />PROJECT ADDRESS <br />Owner <br />Mail Address <br />Tenan� Mail Address <br />-�r <br />�J 6S �Jo�,-{7->� <br />Electrical Contraclor Maii nddress <br />State License Number <br />Use of Building <br />���uaie Footage (I( residential new construdion, remodel or addition) <br />� / � <br />L�escription of Work lo Be Done: _ <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 />City <br />City <br />iij►j <br />SlateiZip <br />Sla�elZip <br />Contract Price of Work <br />60k - 8�39- <br />� S�� <br />Contact Person (Plan Review) <br />FEE �.�n <br />�O W <br />Phone <br />Phone <br />Phone <br />1 hereGy ceRily lhat I have read and examined this application and know fhe same !o be tn�e and � I�O /'� ��� <br />correct. All provisions o/laws and o.zlinances govemmg this type o/ woric �vill Ge compfeted I �, <br />whether specified herein or noL The granting oI a permif does not presume (o give aidhonty to vl <br />viola�e or cancel fhe provisions o/any ofherstate orlocal la�v regulafing constniction or the <br />peAom�ance ol construction. That I am aulhonzed by lhe ovmerollhisp roperiy to peAomi fhe <br />work (or �vhich applicalion is made and I compiy wifh Ihe Stafe Contractors Law 18.27 RCW and <br />296200 WAC. , � <br />