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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 />PROJECT ADDRESS <br />��„�/�....� <br />,, ,, /_=/�� H. t � <. ' � <br />�; sia,.:� � i-c.3 ,? _�•) %i': /,. ,/_ (c'/I ��J�_' ,i�; �cr?�? <br />Electrical Conlraclor Mail Address Cily State/Zip Phone <br />t <br />� � r. / <br />_ �'r� .1V . . rj <br />Slate Lic3nse Nwnbur <br />�L'�:- /t' � . , � i <br />Proposed Use of 6uilding <br />Description of Work to Oe Dono: <br />_l � . _ <br />Cuid�ed Fiicn uf �Vutk <br />Contacl Person (Plan Review) <br />� y <br />CG� �i C i� � � � e.. ��. /_,� �''� e �e-,..,; <br />� .A � �� F' � L ��7i� �.�._.� : i..� :'� <�-...,+P.- � <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 hereby certil}� fh�f I have read <br />co�rect All provisions o/laws a <br />�vhefher spec�Ged herein or nol. <br />violale or cancel the �rovisions <br />perfommnceo/construcfion. T <br />work (or which applicafion is ma <br />296.200 WAC. <br />FEE <br />