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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 a Lt _ p cq <br />425-257-8810 - FAX 425-257-8657 - www.evereltwa org <br />c-o9o8-1�3 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />C,--f <br />PROJECT ADDRESS <br />Tenant Mall Address <br />t (y Electrical ICoacttoor Mail Address <br />State License Number <br />- C <br />F"posed U a bf Building <br />G <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 3105 <br />State/Z,p <br />City - Slate1 p <br />51" N Nk' rozi dc, <br />City Slatelzip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />FEE <br />I hereby certify that I have read and examined this application and know file same to be true and <br />correct. All provisions of laws and ordinances governing (his type of work will be completed <br />whether specified herein or not. The granting of a permit does not p resume to give authority to <br />violate or cancel the provisions of any other state or local law regurating construction or (he <br />performance of construction. That I am authorized by the owner of this property to perform the <br />work for which applirtehpll is made and I comply with the State Contractors Law 18.27 RCW and <br />296 200 WA C. <br />SiOna-- prl a -- .-- Date <br />Phone <br />Phone <br />Phone <br />