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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CFDAR STREET, EVERE rT, WA 98201 <br />425-257-8810 - FAX 425.257-8857 - www.r verettwa.org <br />APPLICATIONS ARE ACCENTED FROM 8 AM TO 4 PM <br />i <br />sfi <br />PROJECT ADDRESS <br />Owner Mail Address City Slate'Zip Phone <br />Tenant Mall Address City State Zip Na5'Phone <br />Electric C ilraclor Mall Address cit State/Zip Phonic <br />Ur-L A)E.TgSac <br />Slate License Number Contract Price of Work <br />Proposed Use of Building j Contact Person (Plan Review) <br />Description of Work to Be Done: . rc.,.0 S/C _PQI u <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 cerlily that 1 have read and examined this applcation and know the same to be true and E �A'2 ��' <br />correct. All provisions of laws and ordinances governing this type of work will be completed li <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 I am authorized by the owner of this property to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCIN and <br />296 200 WAG. <br />