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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—(vvnv.eve rettwa.org 1/0:) —001 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SYI S S <br />PROJECT ADDRESS <br />Owner Mail Address <br />City <br />SlA1ti7iP Phone <br />Tenant Mail Address <br />City <br />State/Zip Phone <br />Electrical Contractor Mail Address <br />City <br />State/Zip phr,ue <br />Slate License Number 2✓Ud/-'� r O /S � <br />Proposod se of B i ing <br />Description of Work',o 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 herebv certifv (list 1 have read and examined this anolic, <br />Contract Price of Work <br />Contact Person (Plan Review) <br />and know tho same to be true and <br />vpe of work wilf be completed <br />not p/esume to give authority to <br />egu)afing construction or the <br />er of this roperty to perfomi the <br />Contmcfors Law 18.27 RCW and <br />FEE <br />L <br />