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PROJECT ADDRESS <br />W =1➢ <br />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 />Mall Address <br />C <br />City <br />State/Zip <br />Phone <br />Tenant Mall Address <br />t- I Pc if!c <br />City <br />�� SY�. I� <br />Slate/zlp <br />N1_= MWn15:1 t l lP. 6'q . <br />Phone <br />c/ <br />—C—I?i.15 <br />Eleclri Contractor Mall Address <br />City <br />GjAelzip <br />Phone <br />State License Number <br />Contract Price of Work <br />i id G / C C Vil; S4 <br />sod se of Building <br />— <br />Contact Person (Plan Review) <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 that 1 have read and examined this applic <br />correct. All provisions of laws and ordinances governing <br />whether specified herein or not. The granting of a permd <br />violate or calico/ file provisions of any other state or Iota <br />performance of construction. That 1 am authorized by thi <br />work for which application is mmnde and I comply with the <br />296.200 WAC. <br />FEE <br />�� 1 ` �Zv <br />know the same to be true and <br />of work will be completed <br />presume to give authority to <br />dating construction or the <br />I this property to perform the <br />nfrecfors Lew 18.27 RCW and <br />