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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 <br /> PROJECT AD ESS <br /> — <br /> Owner Mail Addr055 City Slate.'Zip Phone <br /> r <br /> Tenant Mail Address City Stataop Phone <br /> EIBCIri at Contractor Mall Address Clly State/Zip Phone <br /> Slate License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: <br /> -I Y I •.7,�, � t e 1 e � •1 t '� _) �,. . 1 a � �' vC C�.! e''�-4fder� 'Ce��re,rin � W� _ <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 IS 3105 <br /> 1 hereby certify that I have read and examined this application and know the some to be true and ( j S - e Cy <br /> correct. All provisions of laws and ordinances governing this type of work will be completed J l <br /> whether specilled herein or not. The granting of a perm t does notpresume to give authority to <br /> violate or cancel the provislons of any other state or local law regulating construction or the <br /> performance of construction. That I am authorized by the owner of this roperty to perform the <br /> work for which application Is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200( C. <br /> 'ignature i Date <br />