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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 GEDAR 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 & CREDIT CARDS ARE NOT ACCEPTED <br />4 9/a �ko�,a./ i2dQ.. <br />PROJECTADDR SS <br />dz <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />Contractor Mail Address <br />City <br />C(ty <br />o L+�y' 1�'K S1 E <br />Ci:y <br />State License Number <br />Q�.i. �o... - - <br />Praposed Use of Building <br />Description ofWork�� Be Done: <br />SWte2ip <br />State2ip <br />Sfate2l,� <br />Contract Price of Work <br />Contact Person (Plan Review) <br />� <br />Phone <br />Phone <br />Phone <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 certi(y that 1 have read and examined this applic� <br />conecf. All provisions ol/aws and ordinances governing <br />whether specified here�n or not The granting o/ a permrt <br />viclate or cancel the provisions o/ any other sfate or /ocal <br />peAormance of construction. Thaf 1 am authonzed by the <br />wak !or which application is made and I comply with fh <br />296.200 WA�. � �� � <br />� /�/� / <br />and know the <br />vne o( work w <br />� <br />� to be true and <br />campleted <br />�e authonry to <br />tion or the <br />o perform Ihe <br />8.27 RCW and <br />J <br />FEE <br />I <br />E o4 ia-oa� <br />� <br />