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ELECTRICAL PERMIT APPLI�CATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — �niww.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />1��3 -�Z S� S� l�r�erc� <br />PROJECT ADDRESS <br />Tenant <br />Electricel ConVactor <br />State License Number <br />Proposed Use of Building <br />Descriptiun of Work to Be Done: <br />� <br />Mail Address <br />Mail Address <br />Mail Address <br />J� 2e <br />Clty <br />City <br />City <br />eI0�4 1 <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 />I here6y certity that 1 have read and examined this <br />correct. All provisions o/ laws and ordinances gov <br />whether speci�ed herein or not. ihe granting of a <br />violate or cancel the provisions of any other state c <br />performance of corstruction. That I am authorizea <br />work for which application is mude and I comply w� <br />296.200 WAC. `�� <br />�� <br />and know <br />/S /05� <br />SfateZp Phone <br />yZs- �S���SZ <br />State/7Jp <br />State/Zip <br />ConVact Price of Work <br />�'m�•� <br />Contact Person (Plan Review) <br />s to be true and <br />completed <br />ie authonty to <br />tion or the <br />o peAorm the <br />8.27 RC W and <br />�d 502.-0 �3 <br />FEE <br />m <br />/Y� <br />Phono <br />Phone <br />