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E�E�'TRICAL PEFtMiT APPLiCATION <br />CITY OF EVERETT i'CRMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425•257-8810 - �AX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />- - ���/ ' �J .� 2 <br />/ � l �ti � !� � <br />PROJECT ADDRESS <br />� t Lt�,Ct f��v�y <br />� �� <br />Owne� <br />Tenant <br />+) <br />l. ' �l� .�x-�� <br />Electrical Contractor <br />Slate License Number <br />Proposed Use of Building <br />Description of Work ta Be Done: <br />Mail Address <br />Mail Address <br />Mall Address <br />G'!�-c,! <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 hereby cenily that ! have read and examined this applic <br />correcf. Afi piovisions o(laws and ordinances govemmg <br />�vhefher specified herein or noL The granting o/ a permif <br />violafe orcancel fhe provisions of any ofher state orloca <br />perfamance o( construchon. That 1 am authonzed by thE <br />work lor which application is made and 1 comply �vith fhe <br />296.200 WAC. � <br />City <br />Cily <br />Ciry <br />State/Zip <br />State2ip <br />State/Zip <br />Contrect Price of Work <br />Contact Person (Plan Review) <br />vtion and know the sama tr be true and <br />�his type oI work �iill be completed <br />does nof presume to give authonty to <br />law regulating construction or Ihe <br />avner of this prop :� to porform fhe <br />State Contractors L_., 18.27 RCW and <br />FEE <br />Phone <br />� <br />Phone <br />Phone <br />