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y <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERh91T SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-885; — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�.�� ` <br />�"1 a.5 �,c � ���-E' <br />PROJ[CT ADDRESS <br />Owner <br />Tenanl <br />� ,,� <br />Mail Address <br />Mail Address <br />Elecirical CoNraclor Mail Address <br />` �'CL LE� -1'10 � <br />Slate License Nwnber <br />� �Y��, � . � � <br />Praposed Use o( Buildi ig <br />.�� <br />Description o( Work to Be Done: <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 />1 here6y certily fhnf 1 have read <br />conect All provisions o/ lau�s c <br />�vhefher specdied herein or nof. <br />violate o� cancel Ihe provisions <br />oe�formanceo/cunsfn�cGon. T <br />29G. <br />E ����� <br />Slate/Zip <br />Stale2ip <br />h115 <br />�.3 d 4Sy�,5R" 50 <br />State/Zip <br />Contracl Price o( Work <br />Contact Person (Plan Review) <br />this applicalion and kno�v the same to 6e Vue and <br />govemmg (his type o/ ro�ork will be canplefed <br />�l s pemut does not resume to give authonty to <br />�fe or local law reguPting consirutlion or the <br />ized by fhe owner o/ fhis properiy fo perform the <br />'y-iwlLfhe Sfate Cont�actors La�v 18.27 RCW and <br />FEE <br />Phone <br />Phone <br />Phone <br />