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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.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />//fir ' Sid S <br />PROJECT ADDRESS <br />a, <br />Owner Mall Address <br />City <br />Slatw7lp <br />Phorw <br />Tenant Mall Address City State/Zip Phonc <br />Electrical Contractor Mall Address City Slaletzlp phone <br />///a'oom, � Z4/, &e4 7Ci-0-- <br />State License Number Contract Price of Work <br />Proposed Use of Building <br />Description of Work to Be Dona: <br />F <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />z <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that 1 have road and examined this application and know the <br />rnrrect. All provrslons of laws and ordinances goveminpp Ihls type of work w <br />whether specined herein or not. rho granting of a pernt ( does not presume <br />violate or cancel file PProvlslons of any other slate or local few regulating con <br />performance of construction. Thad I am authorized by the owner of (hisprop <br />work for which application Is made and I comply with the State Contractors f <br />296.200 WAC. <br />Contact Person (Plan Review) <br />e to be Imo and <br />completed <br />ve authority to <br />lion or the <br />!o perform the <br />8.27 RCW end <br />FEE <br />