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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 I °M <br />L� `3 I w A ti' u -I-- <br />PROJECT ADDRESS I' <br />c olr` ���;/�l -T <br />Owner Mail Address City Slate/Zip Phone <br />Tenant Mail Address City State/Zip Phone <br />U SCM- IN i �2 Ait-fl 13 i 3 NJ W 17 4--l' At, <br />Electrical Contractor Mad Address City State/Zip Phone <br />s� L I->-v ►L �J P�X`i IG-s�cQ (772G% 46 - <br />State License Number —_1rV2— 2Z`7-6qt Price of Work <br />Proposed Use of Building <br />Description of Work to Be Done: <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 />I hereby certify that I have read and examined this <br />correct. All provisions of laws and ordinances got, <br />tt4tether specified herein or not. The granling of a <br />violate or cancel the provisions of any other state( <br />perfomrance of construction. That I am authorized <br />work for which application is made and I comply tvi <br />296.200 WAC. <br />Gv <br />1 /1 <br />Contact Person (Plan Review) <br />ow the same to be true and <br />work will be completed <br />esume to give authority to <br />rig construction or the <br />is property to perfomt the <br />tctors Law 18.27 RCW and <br />FEE <br />E CQ ((-v50 <br />