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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAP STREET, EVI_RETT, WA 98201 <br />425-257.8810 - FAX425-257-895'-www.everettwa.org <br />APPLICATIONS ARE ACCEPTED rROM 8 AM TO 4 PM - DEBIT L. CREDIT CARDS ARE NOT ACCEPTED <br />PROJECT ADDRESS <br />C 4 x <br />Owner <br />Mall Address City <br />State/Zip <br />Phone <br />Teen/ant <br />Mall Address City <br />State2ip <br />Phone <br />C r c <br />i L( 9!i� . S'. C • `�� <br />Lea. �Yd <br />�?j' Gr <br />Electrical Contractor <br />Mail Address City <br />StateG.lp <br />Phone <br />State License Number <br />Contract Price of Work <br />Proposed I.Ise of Building <br />Contact Person (Plan Review) <br />Description of Work to Be Done: <br />r <br />NOTE: WIRING IN NON -DWELLINGS 1S REQUIRED TO FEE <br />BE IN RACEWAY1, MC OR AC CABLE. Qa� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have read and exemined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of wcrk will be completed <br />whether specified herein or not. The granting of a permit does not pprr sumo to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance or constructs n. That / am authorized by the owner of thi, property to perform the <br />work�for which applical/ is made and I comply with the State Contractors Law 18.27 RCW and <br />V/` /a S <br />