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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 - �EBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />�io(, SE �Je�c�t;�all Wr�U_ (�Il�l�v s�-le) <br />PROJECT ADDRESS <br />Owne� Mail Address Cily Sta�e2lp Phone <br />`Cvec�ett Mu.�1 P�Vkc�ll s;�--z <br />Tenant MallAddress City Slatetip Phone <br />Eledrical Contreclor <br />���� S� <br />Mail Address <br />or2ec�-occ I s�g MF <br />Slale License Number <br />Proposed Use of Bui�ding <br />Description of Work lo Be Done: <br />� <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 3106 <br />1 heraby certi/y fhat 1 have read <br />correcf. A/l provisions ollaws a <br />whether speci(ed herein or not. <br />violate orcancel the provisions <br />performance o/construcficn. T� <br />work lor which application is ms <br />296.200 WAC. ., <br />��, <br />fhis applicafion and <br />City <br />� !oU"j' J�YLJ`t- I <br />Slate2ip Phone <br />� � �35� <br />Coniract Price of Work <br />Contact Person (PI3�iR8VIEwJ <br />to be true and <br />omplefed <br />i aufhontv to <br />� <br />-3 <br />— Mu���� <br />FEE <br />�S�,So <br />Q�`i01� <br />� ���5 / <br />,���,,-� <br />u <br />�;� <br />