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ELECTRICAL 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 /> 51 +� ST <br /> PROJECT ADDRESS <br /> Ny�rycy B905.7yy, baa 16,1-�PkE.JE &C-W- WA %adS 42s391,13co <br /> Owner Mall Address City Stale/Lp Phone <br /> Tenant Mall Address city State/Zip Phone <br /> Electrical Contractor Mail Address city State/Zip phone <br /> State License Number Contract Price of Work <br /> Proposed Use of Building �p Contact Person (Plan Review) <br /> Description of Work to Be Donn: ` EM f VOW 2 <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE .S 7105 <br /> ""by certify that 1 have read and examined this application and know the same to be true and <br /> correct. All provisions o/laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to <br /> violate or cancel theprovisions of any other state or local law regulating construction or the <br /> performance of construction. That/am authorized by the owner of this property to perform the <br /> work for which application is made and/comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WA <br /> Sip ere Date <br /> ED411- 136 <br />