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ELECTRICAL P�RMIT 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 - DEBIT & CREDIT CARDS ARE NOT ACCEPTE'f3 <br />s� � d% �/7 �'%'1 L'J Q�'` � <br />PROJECT ADDRESS <br />/ <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />.7Q h✓! c -Q <br />Eiec:rical Contraclor � � Mail Address <br />State License Number <br />c��-f`1 i T �} I`�% <br />Proposed Use of Building — <br />Description of Work to Be Done: <br />Cily <br />City <br />City <br />SWte/Zfp <br />Slate/Zip <br />Phone <br />Pliore <br />�a 5 . �3o y�a � <br />S;ale2ip Phone <br />Contract Price of Work <br />Contact Person (Plan Review) <br />NOTE: WIRING IN NON-DWELLINGS IS k�r2UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERL'-TT LOCAL SALES TAX CODE IS 3105 <br />I hereby certi/y thaf I have read <br />correct. A/l p�ovisions o(laws s <br />whether specified herein or not. <br />violate or cancel the p�ovisions <br />per(ormance o/construc(ion. T <br />work for which application is me <br />296.200 WAC. <br />ard examired this <br />nd ord%�ances gov� <br />The � renting of a <br />o( any otl ier state c <br />'iat / am authoiized <br />de and 1 compty wi <br />% r <br />�c.2�sc� <br />i and know the same to be We and <br />lype ol work will be completed <br />s not reswne fo give aufhority to <br />reguPting consWc6on or the <br />ier of this property to per/orm the <br />� Contractors Law 18.27 RC W and <br />FEE <br />�� <br />�'� <br />L- � <br />