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F <br /> 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 ACCEPTEDI-FROM 8 AM TO 4 PM - DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> PROJECT ADDRESS <br /> Owner Mall Address Cly State/Zip Phone <br /> Tenant Mall Address City StatefZip Phone <br /> Electrical Contractor Mail Address Cly StatelZip Phone <br /> Stale License�]Numberr Contract Price of Work <br /> (,.,e r L 0 VL-S <br /> Proposed Use of Building 1 / Contact Person (Plan Review) <br /> Description of Work to Be Done: TNi �j f �' ( V S lu1 < �7O O�- V tv <br /> Cy�� �rlr PU�� v D1�2A/ oN cckti �ht jFlr <br /> vJo/LN ,J �1/rnS <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 /> I hereby certify that 1 have read and examined this application and know the same to be hue and <br /> correct. All provisions of laws and ordinances governing this type of work will be complete) <br /> whether specified herein or not. The granting M a permit does not presume to give authority to <br /> violate or cancel the provisions 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 appli ation is made and 1 com y with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> 10 <br /> � nature Data <br /> dSvZ-Vol <br />