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Ocl 14 10 10:45p AI Thom 360-568-8400 P 1 <br />( <br />ELECTRlCA�. PERMIT' APPLICATION <br />CITY OF EVEREiT PEF2MIT SERVICES <br />DAR STR[[T EVER�TT WA 98201 <br />3200 CE <br />425-257-8610 - FAX 425-257-8857 —www•everettwa.org I d- I�_ ��'� <br />L% � �� I APPUCATIONS ARE ACCEPTED FROM 8 AM l'O 4 PM <br />' I <br />/, C/ =/ <br />� <br />Cf ���`�� / -�✓E%�C,�.ee'N� W�-tl <br />pROJECT ADDRESS <br />'V <br />L-leclrical Contractor <br />9��0� ��� <br />Mail Addrr.ss <br />� I� �tG�?G <br />Mail �ddrecs <br />i c_, r..�c i�a � <br />Muil Atldrr.ss <br />��n�-��t���Oti oP — <br />; State License Number <br />�-rAiL- l(c,n.1�1 ��2�i AL _ <br />Proposcd Use f Budding <br />Cdy <br />City <br />Cily <br />c�nrc- e�`� <br />..CrJCJ `Yc�ri� �..c.'-_ <br />StalclZip Phonc <br />2�� <br />Stalc/Zip Phone <br />SlatrJZip <br />�132��ov <br />Co�iract Pnce ot Work <br />Contact Person (Plan Review) <br />Description of Work to 6e Done: �'� �1"' '�C � r� T ` r L� 7� <br />NOTE: EI IN RACEWAYS MC OR AC CAB aUIRED TO <br />CITY OP EVERETT LOCAI SALES TA% CODE IS 3105 <br />1 f�Hrehy cr.r7ily that I have read r�nd examined this apP�icelipn nnd <br />cormct. All prowsons uI luws m�d ordinances 9overnmq this typc � <br />�vhe�he� specrlicd hcrcin or no(. rne O�nn(in,q of a pertnd does nnt <br />vinlatr. a� cancc:l Um provisi s o( any olher s(alc o� local !mv ropu� <br />pedorrnuncq o conshuctio That I em au(hor¢ed. by �he o�mnr oi <br />worlrlor whir,h applicafion �� ma c and I contply wrfh fhe Stafe Gur <br />P96.2UUW�C�J � <br />-- 1J 1S 10 <br />- ��e <br />to be !rue and <br />omple(ed <br />: authonN to <br />and <br />FEE <br />2�2� <br />Phonc <br />