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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 />4 yO/� S) S N/ & rtrelrl 01 9,00V <br />PROJECT ADDRESS <br />Mail Address <br />City <br />State/Zlp Phone <br />Tenant Mail Address City State/Zip Phone <br />0M PY <br />Electrical Contractor Mail Address cd� St,n�z„ Pnon, <br />State License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: <br />i , ) <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />w1k[Ti��l�l �iS�7�7J1�n� 3ZT3�%]7 FIIIiF•'. <br />I hereby cerfily that I have read and examined this <br />correct. All provisions of laws and ordinances govi <br />whether specified herein or not. The grenting of s <br />violate or cancel the provisions of any other state c <br />performance of consimcfion. That tam authorized <br />work for which application Is made and 1 comply wi <br />296.200 WAC. <br />ate <br />FEE <br />iow the same to be true and <br />work will be complefbd <br />esuntr to give authority to <br />trig ccnstructlon or the <br />ds property to perform the <br />actors Law 18.27 RCW and <br />G 06"/6 -/D/ <br />