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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.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />7 44 <br />�X Uo Il V `SI �y� 'Y_ '6 %1 Yc� X)rp <br />PROJECT ADDRESS <br />Owner t Mall Address city Stalemp Phone <br />Tenant <br />Mall Address <br />Electrical Contractor Mall Address <br />State License Number <br />city <br />city <br />StaterZlp <br />Stete/Zp <br />Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />//�J <br />Description of Work to So Done: + ` <br />/ •1(Cr J UCC-YCC-Z <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 certify that 1 have read and examined (Iris applic <br />conecl. All provisions of laws and ordinances governing <br />whether specified herein or not. The granting of a pemul <br />violate or cancel the provisions of any other state or loco <br />performance of construction. That I am authorized by flit <br />work for which application Is made and I comply with the <br />200.200 WAC. <br />ow file <br />work w <br />D 7-�2r;' - I I <br />FEE <br />to be true and <br />)mpleted 1 ^ 1 <br />authority to <br />run or the <br />perform the <br />.27 RC W and <br />Phone <br />More <br />