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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 �1 �a-�- `�� <br />425-257-8810 - FAX425-257-8857-www.everettwa.org ��jSU-�_�j� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />3 �'o� �� �SfF� <br />PROJECT ADDRESS u <br />ow�e� <br />Tenant <br />Address <br />Mail Address <br />�E V2j'� W �- <br />Cily <br />Cily <br />Slate2ip <br />Slate/Zip <br />Q $070 I <br />Phone <br />Phone <br />�S 5 F-le�f r<< <br />EleCtrical ContraCtor Mail Address City Slate/Zip Phone <br />State license Number <br />Proposed Use of Building <br />Descriplion ot Work lo Be Done: <br />ire <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certi!- fhat I have read and examined fhis applia <br />correct All yrovisions o//aws and ordinances goveming <br />whether speci(ed herein ornot. The granting oI a permit <br />violafa or cancel fhe provisions ol any other stafe or local <br />peAormance o/consirucfion. That I am aufhorized by fhe <br />work for which application is made and I comply wifh fhe � <br />296.200 WAC. <br />^- rjo 0 <br />� <br />Contrect Price of Work <br />Contacl Person (Plan Review) <br />�� 'i n CP� �in� <br />and know the sarne fo be true and <br />ype oI work will be comple(ed <br />� not presume to give aufhon(V to <br />and <br />FEE <br />�c�qo )-R�9 <br />