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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 />2-:12fLt 6�4. s5h) <br />PROJECT ADDRESS <br />(ZOE>> <br />a 1�ou 3Z0 /ol!� Ay, NE zz; _C6'do <br />Owner Mail Ad ress City Slatelzlp Phone <br />Electrical Contractor <br />Mall Address City State2ip Phone <br />%.�L' <br />Address City State/Zip Phone <br />State License Number <br />#/ <br />Proposed Use of Burding <br />Description of Work to Be Done: <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />.'• kf&*AAA'L**7cF[•Zsl7:1G-k4r1R <br />I heroby certify that I have read Dori examined this application and <br />correct. All provisions of laws and ordinances governing this type <br />whether specified herein or not. The granting of a permit does not <br />violate or cancel the provisions of any other state or local law regul <br />performance of construction. That I am authorized by the owner of <br />work for which application Is made and I comply with the State Cot <br />296.200 WAC. ----I <br />l'� <br />' '5M- e0 <br />Contract Price of Work <br />Contact Person (Plan Review) <br />e to be true and <br />completed <br />ve authority to <br />(ion or the <br />'o perform the <br />8.27 RCW end <br />FEE <br />