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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 t w ,a' L <br /> Mail Address <br /> City <br /> State/Zip Phone <br /> Tenant Mail Address <br /> City State/Zip Phone <br /> Electrical Contractor Mail Address t ,. 1 `� F f=:>( ' s <br /> City State/Zip Phone <br /> State License Number411 <br /> 2_ 6 laOC7 <br /> Contract Price of Work <br /> Proposed Use of Building <br /> 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 /> L-Hi20°'D <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that I have read and examined this application and know the same to be true and E12_ ( 0 09 <br /> correct All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does notresume to give authority to <br /> violate or cancel the provisions. . y other state or local law regulating construction or the <br /> performance of constructio or=. lam authorized by the owner of this property to perform the <br /> work for which applicati. made and I com.l the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. 1 <br /> / I `0—/5 - (Z <br /> Signature Date <br />