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Jul 09 08 06: 23a p' 1 <br /> _ , —� <br /> ELECT AL �ERMIT APl�ILICA�'IC)N <br /> CI'�Y O E�ERETT PERMIT S�RVICES <br /> ; 3200 EOhR SThtEET, EVERETT. WA 98�01 <br /> 425-257�8 0 - FAX 425-257-8857—wvtiv.ever ttwa.org <br /> APPLlC • IQNS ARE ACGEP7ED FROM 8 AM T 4 PM <br /> 33i � ' Y�5 <br /> IPRo3�cr t���tess � ,2,s�' <br /> / ' 2 �Cc ��.?o �9h'/ <br /> ��'^V� C�`��• J/ � ��ry L ' . State2lD Phora <br /> O�vnOf Mmll Add� '. <br /> i <br /> ' Clty �. . Cmte2lp S/� �RhOno <br /> Tenant hlail Atldr �i -� <br /> ' i � ��/�� <br /> l',:,�t-,��.� ,� JKS — � <br /> Clry - � ' SUte/ZIP Phone <br /> EleccriCal Cont2Cfdr hlall Addr , <br /> ��'��f�r �y , ; ntract Price of Work <br /> State Ucenso Numbnr � � <br /> J�� ontact POraon (Plan Review) <br /> Proposed Use of Buil�inp 'I � � <br /> Descrlptlon af Work to Ho�c^a: <br /> ,4 . C_ fi.v .�: . / / [i U <br /> I <br />� ( FEE <br /> � MOTE: W IRI'NG W NON•DWFLIItJGS REQUIREO TO , �Q pt <br /> 4 gE�tV RACEWAYS, MC OR A BLE. i <br /> 11 � _ <br /> � <br /> I CITY OF EVERET'f LOCAL SALES TAX C� 6�S 3105 I ' <br /> � <br /> Ii neroby cerf/ry lhat 1 havn reed end oxemin fNs appllcatior antJ.knew thb Seme fo;be fr o and <br /> C07BC2. A!1 prOvlSlO/Is o/fpw5 anC ort!l�8n.. pOv6n71�g fhls tyPe o/wotk v�lll be contplato <br /> I whetHer speciflod nerelrt orno!.`The drontl ,c(o porm�f does ,ot presume to glve outhor y 10 <br /> vrptr.:a or esncel fhn pra��!slons�feny othe otn orloca(lew repulatMg conSVuctlorto�th <br />� peRCrm�ncn o/cG;.sfruc:�on, Thet,!'am aut dzed Dy ih6 o�vner of thls prop9rty to pedor lhe / <br />� work fcr w.hlch apr�lceGcn !s mede snd 1 co ��y�+9:h fhe Sfafe Conlrec l ors Lmv itJ.27 HC end � /� <br /> 296.20J W�+0. ' �l b <br />� ����' � 9 �— � � � � ,�' <br /> oote � <br /> ��� <br /> W re <br /> I <br />