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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, t_viRETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />,APPLICATIONS ARE ACCEPTFD FROM 8 AM TO 4 PM <br />r 3S��iiE /VL- <br />PROJECT ADDRESS <br />— <br />Owner Mail Address <br />Tenant Mail Address <br />Electrical Contractor Mail Address <br />NA?�'/.+o7WR <br />State License Number <br />Proposed Use of Building <br />Description of Work to Be Done: <br />City <br />City <br />a)A 9'4-To <br />City <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 hereby certify that I have read and examined this application and know the <br />correct. All provisions of laws and ordinances governing this type of work w <br />whether specirred herein or not. The granting of a pernut does notl,uesume <br />violate o the revisions of any other state or local law regu,ating con <br />pelto lance of G. ruc w at l am authorized by the owner of this drop <br />ram, u,r,irffann 'cation is ma e and I comply with tire State Contractors I <br />✓/ <br />State/Zip <br />Stale/Zip <br />cb��d-Iz <br />L -1z'0q _Iql <br />Phone <br />Phone <br />3�6 <br />State/Zip Phone <br />Contract Price of Work <br />H Oo� <br />Contact Person (Plan R iew) <br />FEE <br />i5co <br />to be true and <br />ompleted <br />r authority to <br />an or the <br />perform the <br />�.27 RCW and <br />