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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 /> : -- _ > � r i ; ;� %� ' - :,. ;%� <br /> Owner Mail Address City State/Zip Phone <br /> -� . -- - " �_� " � . , = <br /> Tenant Maii Address 1 City State/Zip Phone <br /> �" <br /> i <br /> C�V��,/r��r. - �/ �� - . � -� .. � <br /> , " l..'�- ,. � ' <br /> Electrical Cont�actor Mail Address City State/Zip Phone <br /> State License Number Contract Price of Work <br /> - � =-t �� -� ,�,,, � <br /> Propbsed Use of Buildir�g Contact Person (Plan Review) <br /> Square Footage(If residential new construction, remodel or addition) <br /> r , ' <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 . ..���r,.,�� <br /> , ,. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify that I have read and examined this application and know the same to be true and .�---� � ;, -� <br /> correct. All provisions of/aws and ordinances governing th�s type of work will be completed { � ' � — '�.�� �, ��> <br /> whether spec�fied herein or not. The granting of a permit does not presume to give authorrty to � � ' `" - " <br /> violafe or cancel fhe provisions of any other sfate or local law regulafing construction or the <br /> performance of construction. That 1 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 /> 1 - � . <br /> �Y ✓ �- ' <br /> ' ^ Signature� Date <br />