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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 - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />5-/r 92 "? 113"?1­51-i- <br />PRROJECT ADDRESS <br />VE. <br />OtIvner Mail Address City State/Zip Phone <br />Tenant LL Mall Address µµ city State2lp Phone <br />4nt1y, ,j,�� Sr.-t/17t. ZC f �Yex .fc-C'nc }� %i-i / 2/27 �- ./ <br />lectrical Contractor Mall Address city State2lp Phone <br />State License Number Contract Price of Work <br />'j'FS <br />Proposed Use of Building L Contact Person (Plan Review) <br />Description of Work to Be Done: <br />T <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 hereby certify that 1 have read and examined this 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 the provisions of any other state or local law regulating construction or the <br />performance of construction. That 1 am authorized by the owner of this properly to perform the <br />work fr., which application is made and I comply with the State Contractors Lew 18.27 RCW and <br />295.200 WAAC. <br />Signature Date <br />