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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 />13?q (�3'ZP <br />PROJECT ADDRESS <br />'aLlFn (! S? ( F- 7(e1 Ft,,r-ec17 CA-4LI 4�7CT uzs3vIi6S5G <br />Owner Mail Address city State/Zip Phone <br />Tenant <br />Mail Address <br />City <br />StateZp <br />Phone <br />SELF �R..v� <br />Electrical Contractor Mail Address City StateZp Phone <br />:)late License Number <br />Proposed Use of Building <br />Description of Work to Be Done: 44 e_, <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Contract Price of Work <br />Contact Person (Plan Review) <br />read and examined this application and know the same to be true and <br />1ws and ordinances governing this type of work will be completed <br />not. The granting of a permit does not presume to give authority to <br />ions of any other state or local law regulating construction or the <br />n. That/ am authorized by the owner of this toperty to perform the <br />s maJe and I comply with the State Contractors Low 18.27 RCW and <br />FEE <br />0 7 -/o <br />