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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 /n —3(�l) <br />425-257-8810 - FAX 425-257-8857 —www.everettwa.org �� � � L i7� <br />APPLICATIONS ARE ACCEPTED FROM 8!+M TO 4 PM <br />� 90 s �� v�r � �I v�. �e �P f� Gv � >�a ° j <br />PROJECTADDRESS <br />r� <br />Owner <br />� ( Jc{ . � �e ��e � �� <br />,warese <br />ciry <br />.� AM�-e <br />Tenant Mall Address ��b' <br />Sfa� E�ec��'c �rvdces L� <br />� �yar �,�.�+ �l_�.1. <br />Electrical ConUactor Mall Address <br />5i-o.,�ce� 93� 1�� <br />Stale License Number <br />S� - � � <br />, <br />Propo d Use Buflding <br />Description of Work to Be Done: � r C"�` <br />NOTE: BERN RACEWAYS MC OR ACICAB EUIRED TO <br />CITY OF cVERETT LOCAL SALES TAX CODE IS 3105 <br />/ <br />or <br />read and exeminod thls appllcafion and <br />Gty <br />�r< <br />til lk 1�� o � <br />State/2ip Phone <br />y�� ��3-�/SS9 <br />I � <br />State/Zip <br />,,,�A �.v'� <br />Phone <br />SUle21p Phone <br />lS��z���q-�13� <br />� /, �� <br />Contract Pdce oi Work <br />Conlact Person (Plan Review) <br />3 to 6e true and <br />completed <br />re authodty ro <br />t(on or fhe <br />o pertorm fhe <br />B.27 RC W and <br />FEE <br />''v/�Lri�$_ <br />