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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 <br />1J��og F(I�Shv� (l_j tp1c'C (' Ev'ey'ri'I 9620L) <br />PROJECT ADDRESS <br />Q.i'L73 301-6,y76 <br />owner Mail Address City State/Zip Phone <br />N/ P <br />Tenant Mall Address City State/Zip Phone <br />1J �KD Y\ f- Y' c c'M-Vczr 0 r­ -t- <br />Electrical Contractor Mail Address City State/Zip Phone <br />N 10 I I D-cJ)r)- > A <br />State License Number Contract Price of Work <br />2Ptnic-, l nVc'c: r`i-\� <br />Proposed Use of Building Contact Person (Plan Review) _ <br />Description of Work to Be Done: <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS. MC OR AC CABLE. <br />CA in <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have read and examined this application and kr <br />correct. All provisions of laws and ordinances governing this type of <br />whether speciried herein or not. The granting of a pemut does not ppr <br />violate or cancel the Provisions of any other state or local law regulat <br />perfomrance of construction. That I am authorized by the owner of t1 <br />work for which application is made and 1 comply with the State Conin <br />296.200 WAC. <br />s to be true and <br />completed <br />,e authority to <br />!ion or the <br />8 27�RCiW and <br />FEE <br />