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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,everettv,�a.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br />��( � lP� m,� l /�Gr �.. <br />PROJECTADDRESS — <br />yyy��Pj <br />Tenant <br />-�+n iu� <br />Mail Address <br />� <br />MailAdtlress� <br />� <br />Mail Address <br />���n, t�'�'q �I8 D� <br />State License Number <br />Proposed Use of Bwlding <br />Description of Work to Be Done: <br />City <br />Ciry <br />�%U� �' U�(c�� f � <br />State/Zp Phone <br />State2ip � Phone <br />City Slate2ip . Phone <br />� I�I l� •�.�� <br />Coniract Price of Work <br />f�� Ih� l�s�i <br />C_ <br />ContactPerson (Plart}�eview) <br />NOTE: WIRING IN NON-DWELIINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 he�eby ceRily fhat 1 have read and ezamined this application and <br />correcf. Ail piovisions o(laws and ortlmances govemrng this type <br />Wolateos�an ee�heprovlsions��olanyo(hersfateorlocal�0wrega <br />pedomiance ol construction. That I am authonzed by the owner o, <br />work lor whrch applicafion is made and f comp/y with fhe Sfa(e Ca <br />296.200 WAC. <br />A . <br />�ov <br />m <br />FEE <br />and <br />�(o _ /�' <br />he �j�� <br />and ��'�- <br />- �� <br />