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( <br />ELECTRICAL PERMI�' APPLICATI�N <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FH : 425-257-886? — www.everettwa.org <br />APPLICATIONS ,�RE ACCEPTED FROM 8 AM TO 4 PM I� t� �-/'L <br />f��� �w!l ��/� �;� <br />PROJECT ADDRESS <br />�� <br />Qwner <br />� "� �J v�wl t� <br />Mail Address <br />ryry <br />Tenanl ' Mail Address City <br />p������<<�;� P� g�� ��� <br />Elect ical ConUactor Mail Address City <br />,4 ►�.�,� �.� ►� � o � (�� _ <br />tate icense Number <br />Proposed Use of Buildfng <br />DoscripUon cf'�York to tio Uone: <br />I'� G �' V G -E5 <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCA� SALES TAX CODE IS 3105 <br />I hereby certily that 1 have read end examined this application and know the <br />correct. All proNsions o(/aws and_ ordinances goveming thls type of woilc w <br />� to <br />El ZDl —�li <br />State/Zlp Phone <br />State/Zip Phone <br />���� w� <br />Slale2ip Phone <br />Contract Pri� o�ork <br />Conlact P on (Plan Review) <br />c <br />V� <br />FEE <br />and 1:�2o�-U1�" <br />to <br />�hich application !s mrde and 1 comply witfi the State Contrac(ors Low 18:27 RCW and <br />VAC. <br />J � � �� <br />