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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMfr SERVICES <br />3200 CEDAR STREET, EVERETr, 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 />'G, ar <br />Ten`ard Mail Address City State/Zip Phone <br />Electrical Contractor ctor Mail Address City State/Zip Phone <br />Eyerures Ld 11/7,/ <br />Slate License NOMber <br />)4fu (- I <br />Proposed Use of Building <br />Square Footage (It residential new construction, remodel or addition) <br />of Work to Be Done: <br />vt <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 />1 hereby certify that I have read and examined this <br />correct. All provisions of laws and ordinances gov <br />whether specified herein or not. The granting of a <br />violate or cancel the provisions of any other state( <br />performance of construction. That I am authorizec <br />work for which application is made and I comply w <br />296.200 WAC. <br />Contract Price of Work <br />Ia,2S`9 <br />Contact Person (Plan Review) <br />know the same to be true and <br />of work will be completed <br />presume to give authority to <br />dating construction or the <br />d this�roperty to perform the <br />nfrac ncc law 1 n.27 RCW and <br />/�- a6 - /; <br />FEE <br />M( 45 <br />L <br />