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ELECTRICAL P�RMIT APPLICATION <br />CITY OF EVERETT PERMIT S�RVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />1o�2.z m�n�� �p, <br />PROJECT ADDRESS <br />Owner <br />Tenanl <br />��s.l�s 3�a�.�� <br />Mail Address <br />Eleclrical Conlractor <br />Mail Addrass <br />Mail Address <br />Stale License Number <br />� � U`-`'� � - <br />Propose�lding <br />Doscriplion of Work lo Do Dono: <br />NOTE: WIRING IN NON-DWEILINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />y cerfi(y fHat 1 have read <br />All pro�aslons of la�vs a <br />r speci(ied herein or nol. <br />or cancef Ihe pro��isions <br />Gty <br />City <br />Gty <br />S �,\le u�� �Ig2� o <br />�� <br />fhis ap�lication and kno�v (he sa� <br />�ovemm� fhis type ol work will b <br />�f a permd does not presume to � <br />�te or focal lau� rec�ulaling constn <br />ized b}� fhe owner o/ this propert; <br />ly �vith fhe State Confrocfors La�ti <br />I -2�'Z� I � <br />Stale2ip <br />StalelZlp <br />Slale2ip <br />Contracl Price of Work <br />Phone <br />�2��0 2�-j2� <br />Phona <br />Phone <br />Conlact Person (Plan Raview) <br />FEE <br />a to 6e true and � 1 I��� � 3� <br />complefed <br />vo authonty to <br />fion or fhe <br />'o peiforni the <br />� 8.27 RC W and <br />