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LECTRICAL 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 a 3 <br />dgai _oq� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />/z2L"'ii <br />� <br />Owner <br />Mail Address <br />City State/Zip <br />Phone <br />Tenant Mail Address City Slate/Zip Phone <br />Z7o//N v i <br />Electrical Contractor Mail Address City Slate/Zip Phone <br />Slate License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <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 cattily that I have read and examined this application and <br />correct. All provisions of laws and ordinances governing this type <br />whether specified herein or not. The granting of a permit does not <br />violate or cancel the provisions of any other state or local law regu <br />performance of construction. That I am authorized by the owner o <br />work for which application is made and I comply with the State Coi <br />296.200 WAC. <br />FEE <br />e to be true and l'� UI (l i <br />completed c <br />re authority to <br />tion or the <br />o perform the <br />8.27 RC W and <br />