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82200 P 001/002 <br />03/28/2013 01 22 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES 3_ag_�3 <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257.8857-www.everettwa.org E1303-49t <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address City state2lp Phone <br />Ele trical Contractor Mall Address City state/Zip Phone <br />/'VZ L/P /G00 <br />State License Number Contract Price of Work <br />Proposed p 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 3108 <br />FEE <br />1 hereby certify that I have road and examined this applfcat on and know the lama to 6e Lve and ' q <br />correct. All provisions of laws and ordinances govaPnfnp is type of work will be completed 13 (� "3 ( I <br />whether sped herein or nol. The granting of a ppermR does not resumo to glve authority to <br />violate or cancel the provisions of any other stgto dr local law regulating constnuction or the <br />performance of construction. That I am authon:ed by the owner of this roperiy to perform the <br />work <br />WAC. application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />gnaws are <br />