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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 /> r,%x <br /> PROJECT ADDRESS <br /> Owner Mall Address City Stale/Zip Phone <br /> Tenant Mail Address City State/Zip Phone, <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> Slate License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> /J <br /> Description of Work to Be Done: �/Yf!?IiA��/ /'C1/r/C.�C C��� �/✓S�i�G1Z//r/ <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 <br /> correct. All provisions of laws and ordinances goveming this type of work will be completed / <br /> whether specified herein or not. Tho granting of a pemrt does not presume to give authority to <br /> violate or cancel the pprovislons of any other state or local law regulating construction or the <br /> performance of construction. That I sin authorized by the owner of this pproperty to perform the <br /> work for which tion Is made and I comply with the State Contractors Lew 18.27 RCW and <br /> 296.200 W <br /> �•�.:�. GLS <br /> ignature ate <br />