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ELECTRlCAL PERMIT APPLICATION <br />CITY OF EVERETT RERMIT SERVICES �z��3_oS <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-8857-www.everettwa.org Gp S/1_/,Z� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />��C�PC'S ��Lll"��.�C,1'1 ��� <br />PROJECT ADDRESS <br />�� <br />Tenant <br />Electrical Contractor <br />Mail Addr= ss <br />\� <br />Mail Address, <br />- - ' . n , <br />Mail Address <br />�,ti��-�z���v�4 <br />State License Number <br />V V�YJ'�'�U����� <br />Proposed Use of Building <br />Description of Work ta 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 />I hereby certily that 1 have read and examined this apF�ication and <br />correct. A/l provisions of laws and ordinances govemmg th�s type <br />whethe� specified herein cr not The granfing of a pem:rt does not <br />viclate or cancel fhe orovisions of anv other sfate oNocal la�v renu <br />—� <br />ciry <br />StatGZip <br />State/Zip � <br />L" � � <br />Phone <br />Ii <br />Phnne <br />SlatelLP � Phone <br />� -� oG <br />CoNract Pnce of Work <br />,�)c�u r�e�121eatite.� ��� <br />Contact son (Plan Review) <br />�ow the same to be hue and <br />work wrll be complefed <br />esume to give authority fo <br />�ng consfrucf�on or fhe <br />iis property to pedomi the <br />3ctors Law 18.27 RCW and <br />(Gc,v VC,� <br />FEE <br />;� � — <br />�J✓ <br />�,,�c�� <br />� J�;: <br />� <br />