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� <br />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 - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />L. C>G � � � <br />PROJECT ADDRESS <br />Tenant <br />Mail Adtlress <br />ConlractOr Mail Address <br />V i rS n� cJf Y 7%� ��� _ <br />Stale License Number <br />D�� ,�� �� <br />Propos d se o( Building <br />Description of Work to Be Done: �� � <br />NOTE: WIRING IN NON-DWELLINGS IS REDUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 have read and examined this <br />ns ollaws and ordinances gov <br />a.ein or nor. ,T��e arantina oI a <br />or <br />296.200 <br />Cily <br />City <br />3tion and know the <br />this type ol work w <br />does not presume <br />law reoulatinq con <br />Slate/Zip <br />Stale/Zip <br />S�� <br />Contract Price of Work <br />�'a6'����� LZ4-�' <br />Contact Person (Plan Review) <br />ie to be true and <br />� completed <br />ive authonty ro <br />-tion or the <br />fo peAorm the <br />18.27 RCW and <br />7�/� <br />L' <br />FEE <br />FC7'lv�-�ZO <br />Phone <br />�� ��. <br />Phone <br />