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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREiT, WA 982.01 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />Owner Mail Address City State/Zip Phone <br />(a0(0) (qt -64 <br />Tenant Mall Address City State/Zip Phone <br />Electrical Contractor Mall Address City State/7ip Phone <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done: <br />C',�kl'tG <br />NOTEWIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />Contract Price of Work <br />Contact Person (Plan Review) <br />�N <br />CITY OF EVERETT LOCAL SALES TAX CODE IS M05 <br />I hereby certify that I have read and examined this application and know (be same to be true and <br />cormcl. All provisions of laws and ordinances governing this typo of work will be completed <br />whether specified herein or not. The granting of a permit does not ppresume to give authority to <br />violate or cancel the provisions of any other state or local law regureting construction or the <br />pedomtance of construction. That I am authorized by the owner of this property to perform the <br />work for which application is made and I comply with the State Contractors Law 18 27 RCW and <br />296.20 WA . <br />FEE <br />