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ELECTRICAL PEkMIT 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 FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />� ��� M��y�h �d. <br />PROJECT ADDRESS <br />Owner Y� <br />Tenanl <br />�nn�l�r <br />�fYll Gf rn � �l J' <br />Mail Add�ess <br />Mail Address <br />Or ��rn <br />City <br />City <br />r� r/'�r vl �P. L L � <br />EleclricalContractor M1lailAddress <br />cANntc;rqal�3� <br />Stale License Number <br />Proposed Use of 8uilding <br />Description o( Work to Be Done. � <br />� /OCam <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />8E IN RACEWAYS, MC OR AC CABLE. <br />CITY OF FVERETT LOCAL SALES TAX CODE IS 3105 <br />1 he�eby cedily th�t 1 have read and ezamined fhis applica(ion and know Ihe <br />rn.mct All nrowsions ol laws and o�dmances govenung fhrs type ol work w <br />C �C�rC'tf, W�+ <br />SlatefZip <br />NE /6 t�+ Uf <br />9 ��a3 <br />Phone <br />�1����� 3606 <br />Phone <br />ll�vu� <br />Stale2ip rnmrc <br />q�GG�. �15 f�z -i� � � <br />contract Pri ot Work GG <br />r��� � ma� <br />Contact P� on (Plan Review) <br />nC�L <br />� fo be Irue and <br />complefed <br />ie aufhonty to <br />tion orlhe <br />'o peAorm tho <br />'8.27 RCW and <br />Eoy ��-fl57 <br />FEE <br />�5.00 <br />