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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 /> PROJECT ADDRESS <br /> i - <br /> ( Ir/r ' � <br /> Owner Mail Address Cit) Slate/Zip Phone <br /> Tenant Mail Address Clq, / State/Z,p Ph ne <br /> 1 A <br /> Electrical Contractor Mail Address city Slate/Zip Phone <br /> J'I (All rC y' 'I ri/ (,; s <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: / iv. ��U r� ✓y �/ 0 /' 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 certrly that I have read and examined this application and know the same fo be true and <br /> correct. All provisions oflaws 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 authonty to <br /> vidlete or cancel the provisions of any other state or local law regulating construction or the <br /> pertormance of construction. That I am authorized by the owner of this property to perform the <br /> work for which application is/nada and I comply with the State Contractors Law 18.27 RCW and <br /> 296.100 WAC. / <br /> Signature Date ��' <br />