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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 <br />PROJECT ADDRESS <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address City State/Zip Phone <br />A SS1 NJ <�t`t-Lc�y C �-)O- C—_rrC�TT C-"Pr <br />Electrical Contractor Mail Address City State/Zip Phone <br />State License Number Contract Price of Work <br />O 1" N--I L,'E <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: <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 1 <br />1 hereby certify that I have read and examined this application and know file same to be true and <br />correct All provisions or laws and ordinances governing this type of work will be completed r <br />whether specified herein or not The granting of a pernut does notpresume to give authority to <br />violate or cancel file previsions of any other state or local law regulating construction or the <br />performance of construction. That I am authorized by file owner of this property to perform the <br />work for which applic tion is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WA� <br />O <br />i0na'wre Date <br />