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Jun 08 06 07:07p p.2 <br />d <br />ELECTRICAR PTERM�T APR L�IESp►TIOlN�-0� <br />CITY OF E 6 <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8£i57 — www.everettwa.org �� / C� r f <br />� � <br />ApPLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM ��J � <br />� � �,; �u�e ��-�-� , (,�Q . 9P2a4- <br />� � �. <br />PROJECT ADDRESS � � ^ l <br />Mail Address " <br />Owner <br />..:.� ���',T �U�i' <br />Tenant <br />Moil Addrass <br />��= � VE Y S�in-t ��;�-t <br />Mail Address <br />Electrical Contracror <br />�(-�-�Veu; �- ��� �� — <br />Slate License Number <br />�5 i�l.; P 45 �-�-�a-�s <br />mposed Use of Buildmg <br />Description of Work lo Be Done: �'� �`�' "` <br />C � bl i �1c� — <br />NOTE: BERN RACEWAYSWMCLOR AC CABLnE.IRED TO <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 310c f.on and <br />I hereby certify that ! have read and oxamined this app <br />correcl. All provisions o/ laws and ordinances govommg this type <br />v olat �or can cel�he provl sions�o%any other 9tata3or� calla v re9u <br />.,�e�.manco of consrmchon. That I am authon�edrnYthe 5tato Co <br />CiN, <br />��= <br />Ciry <br />`Jc�rv <br />fhe samo to <br />5��� ' Phor.e <br />��b)�105-t oln <br />Slato/Zip Phonc <br />�—�t�—� ph,one <br />I t' ��Lj-eS� <br />�j % (�i�`� <br />ConlraCt Price o( Work <br />L�--�`'�i � ..� <br />Contact Person (Plan Review) / <br />. .. �i /I—l—�i ' � ��J"� � <br />rand <br />y to <br />%end <br />FEE <br />� O!�Di�-07�0 <br />