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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — wvdw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />� � 2.� �l- /�l �_ <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Eleclrical Conlraclor <br />State License Number <br />Proposed Use of Building <br />Descriplion of Work lo Be Done: <br />Mail Address <br />Mail Address <br />Mail Address <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 />1 hereby certify tliaf 1 Jiave read <br />correcL All provisions of laws a <br />whefher specified herein or nof. <br />violate or cancel fhe provisions <br />peAcrmance ol consfruction. T <br />work lor which application is nr< <br />296.200 WAC. <br />�/</,�:,�; <br />fhis ounlicatien and <br />a <br />law <br />City <br />City <br />ay <br />State2ip <br />S�ale2ip <br />Stale2ip <br />Contrect Price of Work <br />Contact Person (Plan Review) <br />ie to be true and <br />completed <br />'ve authonty to <br />•tion or the <br />to perlorm the <br />18.27 RCW and <br />�� <br />Phone <br />Phone <br />Phone <br />FEE � <br />� <br />