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ELECTRI�AL 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 />��JC7 �eV�V ��/ L.c� �L'�GL�- t �2c3 <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Stale Llcense Number <br />� �J <br />S �- K <br />Propnsed Use of Building <br />DescnpLon of Wr. K to Be Done�. <br />. ... -,`f�% ��� ;� <br />Mail Adtlress <br />Mail Address <br />Mail <br />ciry <br />Ciry <br />S•� �1¢+� <br />Cily <br />� : ���" � l <br />� . � .�. . � . �., <br />NOTE. BERN RACEWAYS MC 0 AC CAB EUIRED TO <br />yZS- <br />StatelZip <br />Slale/Zlp <br />- 52 10l <br />Phone <br />Phone <br />��,/// StatelZip P'wne <br />�/ �s <br />�P �) <br />Contr Price ol Work <br />� 1�1�� ►-G �Q � <br />Contad Person (Plan Review) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />I hereby certily fhaf 1 have read and ezammUd this applicalion and kncw the same fo be fn�e and <br />correct All provisions ollaws and oidmanr.os govommg fhis typo ol H�ork wAbe comple(ed <br />whethe: sp�cmeu Iterem or not. The gron:mg ol a permrt does not I¢swce to give eufhonry (o <br />violafe o- cancel the provisions ol any olher sfafa or local law reguPfur �co� y fio� r fhe <br />pedormancg pI r.onstnicfion Thaf 1 am �mihonaed by Ihe owner ollh,s io rt fo dorm fho <br />work lor whid� apphcahon is mado anA I comply wifh fho Sfate Confracfors Law 18.27 RCW and <br />296 200 WAC. <br />� <br />�-- �'_-�� <br />FEE <br />��4�8-058' <br />