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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �a4 <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.evereltvva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 'PM <br />n/ 1.l <br />,, <br />PROJECT ADDRESS <br />Owner V Mail Address City State/ZipPhone <br />Tenant Mall Address City State/Zip Phone <br />Electrical Contrartor Mail Address City Slate/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: G Cif �« t"'L <br />y <br />1I 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 same to be true and GlJ 1p p " I n L <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified <br />cancel therepiovlslons of angranting <br />other state or looccal lW sregu1611ng Construction authority <br />to <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 1 comply with the State Confrecfors Law 18.27 RCW and <br />296.200 WAC. <br />- - 1 <br />Signature ate <br />