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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 -l17 i77 <br /> PROJECT ADDRESS <br /> Owner Mail Address City Stale/Zip Phone <br /> Ile* <br /> Tenant Mail Address City Stale/Zip Phone <br /> Electrical Contractor Mall Address City State/Zip Phone <br /> y` c-EC z9ycX4 <br /> Slate License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: <br /> 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 horeby teddy that I have read and examined flits application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to <br /> violate or cancel theprevisions of any other state or local law regulating constriction or the <br /> performance of construction That that authorized by the owner of this property to perform the <br /> work for which application is made and 1 comply with the State Contractors Law 10.27 RCW and <br /> 290.200 WAC. <br /> SigiTature Date r <br /> dG II�IJc��-o(( <br />