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PROJECT ADDRESS <br />Owner <br />Tenant <br />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 B AM TO 4 PM <br />Mall Address <br />Mall Address <br />City <br />City <br />State/Zip <br />State/Zip <br />Phone <br />Phone <br />Electrical Contractor Mail Address City StaleMp Phone <br />t 5,7 1-�z x,c o," 3 2— <br />State License Number <br />Proposed dso of Building <br />;Ki cl, <br />Contrast Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: V20/,4 <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 />I hereby cedlly that 1 have reed end oxamined f/t!s applice"I end know the same to be "rue and <br />correct. All provisions of laws and ordinances goveming this type o/ work w ll be completed <br />whether specified ItereIn or not. The grenting of a permit does not presume to glue authority to <br />violate or cancel the provlslorts of any other state or local law regulating consfmcfion or the <br />viola ten a of construction. That I am authorized by the owner of this roperly to perform the <br />work for which application Is made end 1 comply with the State Contractors Law 16.27 RCW and <br />296.2W WAC. <br />FEE <br />7/ <br />