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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 "rROM 8 AM TO 4 PM <br />Zgo4- ��nn� f�V� �verP�.W� °t�Zvr <br />PROJECT ADDRESS <br />� _�o-d7 <br />�-%D 70 / — �� <br />(�b�„� t�a��e� 2�0�- �ira� av� ��c�eff �IA iB�i 4z� �-�-z �-s <br />Owner Mail Address City State/Zip Phone <br />Tenant <br />�:1 �,� n� r <br />Electrical Cuntractor <br />State License Number <br />Proposed l�,e of Building <br />Description oi Work to Be Dono: <br />2 <br />Mail Address <br />Mail Address <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EV[RETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily thaf I have read and exemined this <br />comecl. Al! prowsions ollaws and oidinances gov <br />whefher specified herein or noL The granting o/ a <br />violate or cancel the provisions o/ any other stafe e <br />peHorrnance o/ consfruction. Thaf 1 am authonzea <br />work lor which applicafion is made and 1 comply w� <br />296.200 WAC. <br />U <br />City <br />Cily <br />end know the <br />ype o/ work w� <br />S�ate/Zip <br />State2ip <br />� I �sDD � Do <br />Contract Pnce of Work <br />Contact Person (Plan Review) <br />a to be frue and <br />completed <br />�e authonty to <br />tion or the <br />o pedorm the <br />8.27 RCW and <br />FEE <br />�G701-O S �/ <br />Phone <br />Phone <br />