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� <br />ELECTRICAL <br />�� <br />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 - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />Z 1 I I (02� -i-S � <br />PROJECT ADDRESS <br />S <br />owner <br />Mail Address <br />C <br />�`'� S+S�,J <br />Clry <br />Bf,� <br />Za4 -b12-I'�g � <br />� <br />80310 <br />State/Zlp Phone <br />Tonant Mail Addrass g <br />. ��h statemp�2S 3.�5•llSii <br />S�-,ohc,rn.c �, �I os`�i�r,�. ��c. � eo�. z-�g Sv,�ecn�cl,�. � �itc2� t <br />E'=clrical Contractor Mail Address <br />City Slate/7JP Phono <br />S►.�o N� £T'toPvJ <br />State Llconso Number <br />S—��, <br />Proposed Use of Building <br />Descnptlon of Work to Be Done: �}e�'V�pO�aa <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 />�� <br />Contract Pdca of Work <br />Contact Pereon (Plan Review) <br />I hereby certify fhaf I have rnad and examined fhis epplicaf/on and know fho same fo be frue end <br />correct. All provisions o/ lews and ordinences goveming fh�s type ol wo�lr wi116e complefed <br />whether spoci(ed herem or nnL The yianting ol a permd doos nofp � ssuma fo give authonty fo <br />violafe or cancel the provisions ol eny other stafe or local IeN• reguletinp canstructlon or the <br />woAr lorewhc h appli5 on! otn is made and I comply with fhe Stafe Cc�tracP:�PieW i°e.z RCW and <br />296200 WAC. <br />�. <br />FEE <br />S.`�. 00 <br />