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ELECT�ICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 1� �/3 �/� <br />425-257-8810 - FAX 42!�-'L67-8857 — vwvw.everettwa.org <br />CIlIO --� �� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />Owner <br />Tenant <br />Electrical <br />Mail Address <br />�C '� <br />'' Mail Address <br />.: NG � � <br />' Mail Address <br />/l u�,-�i' 9�1 l/ <br />State License Number <br />Proposed Use of Buildfng <br />Descriplion of Work lo 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 3705 <br />I here6y certi(y that 1 have raad <br />correct. All provkions of laws a <br />whether specified herein or not. <br />violate or cancel the rovisions <br />performanco of cons�r�cflon. T <br />work Ior which application is me <br />296.200 WAC. <br />ihis application and <br />� f �-��'e� % <br />City <br />City <br />I�LL� <br />� <br />StatelLtp <br />State2lp <br />/7//,l/ � <br />Contract Price of Work <br />Contact Person (Plan Review) <br />FEE <br />e to be !rue and <br />completed <br />�e authoriry to <br />tion or the <br />Phone <br />Phone <br />and � <br />- � �1 /D <br />