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ELECTRICAL PERMIT <br />APPLICATION <br />CITY OF EVERETT PERMIT <br />SERVICES <br />3200 CEDAR STREET, EVERETT, <br />WA 98201 1?-09 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />�oq of - rr8 <br />APPLICATIONS ARE ACCEPTED FROM <br />8 AM TO 4 PM <br />PROJECT ADDRESS <br />r- <br />�M / <br />Owner Mad Address `- City <br />StatelZ ri Phone <br />Tenant Mail Address City <br />StateQip Phone <br />Electric nlractor Mail Address City <br />S Zp Phone <br />sl 1 = 7-- � <br />Sla'e Liconso Number <br />Contract Price of Work <br />Propr sed Use of Building <br />Person (Plan Review) <br />D (A/(i <br />///Contact <br />Description of Work to Be Done: a4 <br />NOTE WIRING IN 14ON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 1 <br />1 hereby certify that 1 have read and examined this application and know the same to be true and �U 7 U r <br />correct All provisions of laws and ordinances governing this type of work will be completed <br />whether specilit d herein or not. The granting of a pemut does not presume to give authonty to <br />violate or cancel the previsions of any other state or local law regulafing 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 RCW and <br />296.200 WAC. <br />