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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVFRETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATION3 ARE ACCEPTED FROM 8 AM TO 4 PM <br />�ql� - �g ��`��. s� �. <br />PROJECT ADDRESS <br />�� � P {r� /�f � <br />OWner Mall Address Clly Stale2lp Phone <br />Tenanl <br />Mall Address <br />r <br />.� <br />Mail Addrese <br />��/i2�� D/6 1✓ <br />Slale Llcense umbor <br />s, r- , i� , <br />Proposad Use ol Bullding <br />Description ot Work to Bo Done: <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />C;ty Stale/Zip <br />�� �`;�y S�I�G�rr � `�' � <br />Clry SlelalZlp <br />Conlrect Pdce ol Work <br />Conlacl Person (Plen Review) <br />s <br />1 hereby certily Ihaf I heve rend enAaxemined Ihis epplicafion end hnow Ihe <br />corrocL All provlsions of lews and ordinences govenung fhis fype ol work w� <br />whefher spec�Ged herein or noL The granfing ol a pannif does notp resumo <br />vlolafe or cancel flie provisions ol eny other stafe or local lew regulefing con <br />performence o/ cons)n�cflon. Thef 1 em aufhonzed by fhe owner ol th�s prop <br />work lor which eppUcetion !s rnade and 1 comply wifh fhe Sfefe Contrectors l <br />296, 200 WAC. <br />(C <br />v fo be hue and <br />complefed <br />re aufhonty to <br />flon or f6e <br />o pedom� fhe <br />8.27 RCW end <br />FEE <br />Phnna <br />Phone <br />E��r��-�y3 <br />