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ELECT1ICAL PERMIT AP^LICATION <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 CD VCf2 46 / <br />PROJECT ADDRESS <br />Owner Mail Address City <br />State/Zip <br />ZD / <br />Phone <br />Tenant Mail Address City State/Zip Phone <br />Jc 1�7' Z <br />Electrical Contractor Mail Address City State/Zip Phone <br />State License Number Contract Price of Work <br />Proposed Use of Building <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 />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />thereby certify that I have read and examined this application and know the <br />conect. All provisions of laws and ordinances governing this type of work w <br />whether specrrred herein or not. The granting of a permit does not presume <br />t;�-"2 �-a <br />to <br />Contact Person (Plan Review) <br />and <br />to <br />he <br />and <br />FEE <br />