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ELECTRICAL PERMIT �4PPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - F,4X 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�::0 11�M:.Vinc Vi�'i.L1 nr- <br />PROJECT ADDRESS <br />Tenanl <br />Elociricat CoNraclor <br />Slate License Numbcr <br />Idail Address <br />Mail Address <br />�1oil Address <br />��C.��\ i�� �J �� ^%` � <br />Proposed Use of �uiWinc� <br />� <br />) .�'✓4/�V�. <br />Cily <br />Cily <br />Cily <br />��,� �{ <br />State/Zip <br />Stale!Zip <br />Slate2ip <br />r> <br />',i •,,�ry. <br />Contract Price of Work <br />�?'t .�"- <br />. o i <br />P�1011e <br />Conlact Person (Plan Review) <br />Phone <br />Phone <br />Descripiion o( Work l0 6e Done: �Ce ��.� S�C�� �� t� -F,� � /� t t( �_.�•,, _i} c���•l ( _ <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 />/ hereby certily thaf 1 fmve read nnd exemined fhis applic <br />corrocL All provisions o/ la�rs and ordinances governmg <br />�rhefher spea6ed herein or noL The grantin� ot a pernuf <br />viola(e or cancel the provisions o/ un}� other sfato or local <br />perfomiance of consfrucfion. That I arn aidhorized b}� thc <br />work lor �rohich applicafion is mndo and 1 comply �vifh fhe <br />296.200 INAC. <br />r <br />� � � "� <br />/��'�f-� � �/i <br />and know fhe <br />ype ot work w <br />e fo bo frue and <br />completed <br />ve authonty fo <br />tion or fhe <br />'o perfomi the <br />'8.27 RCW and <br />FEE <br />