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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 C <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />25)5, <br />PROJECT ADDRESS <br />Owner <br />Man Address <br />City <br />State/Zip <br />Phone <br />State/Zip Phone <br />Tenant Mall Address City <br />Iy, <br />Electrical Contractor Mall Address <br />11^r1i / / / D _ 9/ ff - <br />-State License Number <br />Proposed Use of Building <br />Description of W irk to Bo Done: <br />NO fE: BRREQUIRED TO <br />IN RACEWAYS, OR AC CABLE. <br />E <br />city <br />Stale/Zip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have read and examined this application and know the same to be true and <br />correc .. All provisions of laws and ordinances governing this type of work will 1; completed <br />vvt teoorrcanceldhe prerevisions of any other state or local law regulaf resume <br />construction or fflety 1J <br />performance of construction. Thai tam authorized by the owner of this roperty to perform Ifte <br />work <br />WAC. application is made and I comply with file State Contractors Law 18.27 RC W and <br />Phone <br />L-(2of a10 <br />