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N�ay. 6. 20U 2:2tiF61 <br />h;o.3��i F. 3 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERET7 PERMIT SERVICES <br />320tl CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — vuww.everettwa.org <br />APPLICqTION3 qRE ACCEPTEp FROM 8 AM TO 4 PM � ���� 3 <br />��J������ <br />�1 � i�. � .�11i � .�1 <br />'• ��• <br />�.% ; �.l / �%irjl /'�`� � �� <br />. <br />Tenant <br />Electrlcal Contractor <br />Mal� AQdress <br />Meu Addres f <br />S�t�Nqoiaa <br />State License Number '— <br />Prop�sed Use of B�ilding - <br />Des�ription of Wark to Be Done: <br />NOTE: WIRING IN NON•DWELLINGS IS REDUIREO T0 <br />BE 1N RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS ]105 <br />1 heroby ceRily fhaf I havo iea0 and Bxaminedlhis applic� <br />cor�ecl. All provisions o/lews and nidinances goveming <br />whefhersperi/�ydhereinornoL TheyianGnpolapermrt <br />v�clate or cancel Uia provislr,ns ol any other sfafe arlocal <br />performence ol coostrucG'on. Thet l am eulhaized bylho <br />work lor whicA apFrlication rs mado antll comply wi�h lhe , <br />296200 WAC. <br />Cily <br />��38��ti <br />$latelZip Phone <br />StatelZlp Phune <br />���1 ^latel2ip Phone <br />�� r <br />Cuntrect Prica of Work � <br />Contact Person (�lan Review) <br />knov� fhe same to be wc Dnd <br />ol work wi/l be completetl <br />Prosume (o gfve aulhonty to <br />1 tli s�propei� f�o perfom� fhe <br />�tracrors Law 18 27 RCW and <br />FEE <br />50•UU <br />C(3dS-03-7 <br />