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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREIT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />.�f�/ 7 �D����.�'Pi �� <br />PROJECT ADDRESS <br />Owner <br />Tenanl <br />Mail Addross <br />Mail Address <br />City <br />Cily <br />State/Zip <br />State/Zip <br />Phono <br />Phone <br />�%��n-�n� / <br />EloClricalConlraclor MailAddress Cily Slate2ip Phone <br />Slate Licanse Number <br />Proposed U�of Buildinc� <br />Description of Work lo Bo Dono: <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 />Contract Price of Work <br />Contact Person (Plan Review) <br />! heieby certily fhaf 1 havo read nnd examined fhis applicotion and know fho samo to bo truo and <br />correcG All provislons o/laws and ordinances govemmg fbis typo ol worlc wi116o completed <br />�vhefherspecified herein ornoL Tho c�rantinr� ol a pem�d Joes not prosumo to �ive authonty fo <br />vlola(oorcanceltho provisionsolnnyotherstafoerlocallowmgulofingeonsWcfionorfho <br />pedom�anco o/consfruction. Tfmt I am dufhorized by the a�snerollhis property to pedonn fhe <br />�vork for which applicafion ls mado and 1 compty �vith tho Stafe Confrec(ors Lew 18.27 RCW anJ <br />296.200 WAC. � <br />`�7���y� <br />FEE <br />����—��.7 <br />