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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERIV�IT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org � `� � `d % <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��7Q Z �`(5 <br />C7`S;/ ��, r ` �1 <br />/JC.-� / � C ,� :N/ 1�1 i�� �.� �C./ y/ <br />PROJECT ADDRESS / ; <br />� � <br />�i':�F•s1` / � S�c�,>i- <br />OWner Mail Address City Stale2ip Phone <br />;% <br />T- <br />Tenanl <br />� �: :. �, l <br />i�/' <br />Eiectrical Contreclor <br />Slate License Number <br />Mail Address <br />Mail Address <br />Proposed Use of Building <br />� . <br />Descriplion of Work to De Cone: <br />NOTE: WIRINr, IN NON-DWELLINGS IS REc',��JIREDTO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY CF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 here6y certi(y that I have read and exanrined fhis <br />correcL All provrsion� o/la�vs and ordinances gov <br />whether speafied herein or noL The grenting of a <br />violafe or cancel the provisions of any other sfate c <br />perlormance of consWcfion. Tliaf 1 arn authonzeu <br />work (or wh.r.h applicafion is made and 1 comply w <br />296.200 WA�. <br />_ ,� _, <br />:,. :: . :�- , <br />City <br />Cily <br />and know Ihe <br />✓pe of work w� <br />State2ip <br />State/Zip <br />l L. � C��, J <br />Conlract'Price of Work <br />ContaclPerson (Plan Review) <br />�i,/�% C/ — <br />� to be fnie and <br />complefed <br />re aufhor.'ty to <br />tion or the <br />o peAorm the <br />8.27 RCW and <br />�%?--'6�-c�� <br />FEE <br />Phone <br />Phone <br />