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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 PROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />��S <br />PROJECT ADDRESS <br />Owner <br />Trrnant <br />�,ve✓'-��- Ma�L �uG�t� <br />Mail Address <br />Mail Address <br />City <br />Ciry <br />State/Zip Phone <br />55z(�3 <br />State2ip Phone <br />�/�C� ��lec��� �. 0 3�. �04�-� S�a-F�i-L� �rslo8��3(�-szr3 <br />Electricai Conlractor Mail Address City State2ip Phone <br />�� �C L, S4z ,M <br />State 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 />1 hereby certily that ! have read <br />correct. All provisions of laws � <br />whether speci�ed herein or nof. <br />violate orcancel the provisions <br />performancealconstruction. T <br />work for which application is ma <br />296.200 WAC. <br />Contract Price of Work <br />Contact Person (Plan Review) <br />this application and know the same to be true and <br />goveming this type o( work will 6e campleted <br />�f a permd does not presume to give authority to <br />�te or Iccal law regulating construction or the <br />ized 6y the owner of this propeRy to perlorm the <br />y with the State Contractors Law 18.27 RCW and <br />�-z,o-o y <br />fc.�!o�-og5 <br />FEE <br />