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ELECTRICAL 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 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />DvAer <br />Mall Address <br />Clly <br />State/Zip Phone <br />Tenant <br />Mail Address <br />City <br />State/Zip Phone <br />Electrical Contractor <br />Mail Address <br />City <br />State/Zip Phone <br />Lu5%mFL <br />Slate License Number <br />Proposed Use of Building <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 certify That I have read <br />correct. All provisions of laws a <br />whether specified herein or not. <br />violate or cancel the Provisions <br />performance of construction. T <br />work for which application is mg <br />296.200 WAC. <br />this application and know the <br />aovermno this tvoe of work w <br />Contract Price of Work <br />Contact Person (Plan Review) <br />e to be true and <br />completed <br />✓e authority to <br />tion or the <br />'o perform the <br />'8.27 RC W and <br />FEE <br />t-cY35k -003 <br />