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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.e���:rettwa.org <br />AF PLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREUIT CARDS ARE NOT ACCEPTED <br />�7•� — �V'Uhc� �'1/�--- <br />� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Mail Addre:s <br />Mail Address <br />ContractOr Mail Address <br />�l�!)�1��/. <br />tate License Number <br />Proposed Use of Building <br />Description af Work ta Be Done: C�� L��`e ` <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 />I hereby ceRify thaf 1 have read <br />correct. All provisions o/laws s <br />whether speafied herein or not. <br />this <br />comply <br />a <br />rr� <br />cir� <br />Ciry <br />City <br />Gt,�U ��� <br />SWteZp <br />State2lp <br />State2lp <br />Contract Price of Work <br />Contact Person (Plan Review) <br />FEE <br />�nd know the same to be true and <br />pe o/ work wHl be compleled <br />not presume to give euthority to <br />=gulating constructlon or tho <br />rr a fhis property to perform the <br />Contractors Law 18.27 RCW and <br />, ��._o� <br />Date <br />�c�SCY''�� <br />Phona <br />Phone <br />Phone <br />