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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-www,everettwa.org <br />-�J <br />PROJECT ADDRESS <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />Mail Address City State/Zip Phone <br />Tenant Mail Address City State/Zip Phone <br />' o � d� <br />VC fl �/ ,%ry rta`' <br />Electrical Contractor Mail Address Cny state/Zip Phone <br />Stale License Number Contrict Price of Work <br />r l.. <br />Proposed Use Building <br />Square Footage (If residential new construction, remodel or addition) <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 />1 hereby certify that I have read and examined this application and know the <br />nnvAmina this fvDe of Work WI <br />is <br />Contact Person (Plan Review) <br />e to be true and <br />completed <br />ve authority to <br />Lion or the <br />,o perform the <br />iR 97 RCW and <br />FEE <br />5000 <br />