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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 - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />1aZ--9i,�, <br />PROJECT Ad6RESS <br />,/- 12 /� <br />Owner Mail Address City Statemp Phone <br />Yfenent Mail Address <br />City Statemp Phone <br />Electrical Contractor Mall Address <br />City State/zip Phone <br />State License Number <br />Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: / 1K�9A7�jd'ZE�y <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 />I hereby certify Oat I have read and examined this epplfa <br />correct. All provisions of laws and ordinances governing <br />whether specified herein or not. The granting of a permit <br />violate or cancel the provisions of any other state or local <br />performance of construction. That I a authorized by the <br />work for which application is made and] comply with the <br />/-11 /-3 <br />e to be true and <br />completed <br />,e authority to <br />tlon or the <br />o perform the <br />8.27 RCW and <br />FEE <br />/2-6Z <br />r <br />