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ELECTRICAL PERMIT APPLICATIO�J <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 />� �os ���ll � �P�f r� 9,��� <br />PROJECT ADDRESS <br />Ssc3 L��� <br />Mail Address <br />Tenanl Mail Address <br />�ol�s��% �1���M'� Zzz�f� ��� �d'. T <br />Electrical Contraciof hlail Address �} <br />1/J l�V <br />c� ►� scs�� s B�► <br />Slate License Number <br />Proposed Use o( �uilding <br />Description of Work lo Be Done: <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABI.E. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby ceiii(y fhat I have read <br />correcL Allprovisionsollawsa <br />whether specdied herein or not. <br />violafe or cancel the provisions <br />perlonnanceolconstruction. T <br />work Ior which applicalion is,ryc <br />29G.200 WAC. %%� <br />� <br />��P�_P�f G'✓� 9�Zo3 <br />City Slate2ip <br />City "�ate2ip <br />�,�� I,l„�IIf� ��/� ��D- <br />City <br />fhis applicafion and know fhe <br />nnvemma Ih�s tvUe OI WOfk LV <br />Ihe <br />�Z. <br />' Stale/Zip <br />9�'28� <br />0� <br />Contract Price of Work <br />Conlact Person (Plan Review) <br />Phone <br />Phone <br />Phone <br />[% � � �P��� <br />FEE <br />ie fo be frue and <br />�cornpleted <br />ive authonty fo <br />�lion or Ihe <br />to perlerm the <br />18.27 RCW and <br />,� p s � z- r3u <br />