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0 <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.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />/1.;.2 IA,/0 + S w <br />PROJECT ADDRESS <br />Owner Mall Address City State/Zip Phone <br />Tenant Mall Address city Statei7Jp Phone <br />0p, nicc{itc; C. <br />Electrical Contractor Mall Address C* Stateop Phone <br />f <br />P)rr CIO <br />State 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 <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have toad and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinancrs governing this type of work will be completed <br />whether specified herein or not. The grant.'.ig of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That/ am 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 18.27 RCW and <br />C' L <br />FEE <br />