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�:.�; <br />ELEG'fRIGAL PERI,iiIT APPLICA�'IOM <br />CITY OF EVERETT PERMIT SERVICE� <br />3200 CEDAR STREET, EVEREIT, WA 96201 <br />425-257-8810 - FAX42S257-8857—www.evereriwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�Ci��� �1�.-'�C�--���V �Q'.y <br />PROJECTADDRE§S <br />s�►w�.T vA�u� �,�� <br />p,mer <br />Tenant <br />AWII P.ddress <br />R1ai1 Atldress <br />�^� <br />ary <br />CM <br />Stite?ip e <br />��C-�1-\ �� <br />State2p Plwne <br />C�� ��,.,c. c-�-�� ��13 CEv,rr�s"� '[l�c. wlJ. ���� <br />ElectncalContrador c7C�� MatAddress �Y <br />State2p Phone <br />C�.ti..)IX�C�2a 31�1� `1'" �c� �- c� C-� <br />Sta[e license Number <br />�.�1 � ��"v�r� <br />proposed Use of Budding <br />Descrip5on of Work to Be Done: <br />4 - 201 -�U F <br />. ._ n <br />a,- c�- �c7J FA <br />0 <br />NOTE: BERN RACEWAYS MC OR HC CABI.E. �RED TO <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />�s�� ��z� `.-`� - <br />Co�tract Price of Work <br />Cor.tact Person (Plan Review) <br />'•�.5�2� p�v 'S � ���" +a...�ir1-'SX3'�� <br />,� <br />'i= \ c����J �-�l.��V..11. <br />FEE <br />Z-d T699-LZ9-ESZ uei�g eyT�60 SO OE da5 <br />