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p. l <br /> � <br /> � � <br /> ----�----� <br /> �LECTRICAL PERMIT APPLICATfON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 0 <br /> 3200 CEDAR STREET, EVERET7, N1A 98201 /�a — 7 <br /> 425-257-8810 - FAX 425-257-8857—www.evereriwa.org �67 D �—�S� <br /> APPLICA710NS ARE ACCEP7ED FROM 8 AM TO 4 PM <br /> 14d5 w �✓ <br /> PROJECT ADDRESS <br /> C�h. Sta�dL� c,�I Pho�e <br /> OwnOr Msll A4drefa 7�� <br /> n r Gi4�/I �QQ� �}'�W I !L/ i5C_�9��� �,� <br /> li�P F��' 1Nu� _ cia smmn�a �f'� <br /> Tenant MaII�Addret6 � , . � � . <br /> �(s''v9nIPL�tL .Cws 3laor EU .�Il �l/ 94'�� / '�`�� <br /> Clty Smt�JP <br /> EIeCUlcal ConVaClor Man'Atldrsss . , . <br /> �I"G.t�AJ.r,I/5i? �Ct" - — 2� /DD �` - <br /> CaMraM PAce of Work <br /> 5'tete Uconso NumOer <br /> GEntaCt Person (Plon Review) <br /> Proposed Use of Building <br /> Doacriptlon of Work to Ba Done: <br /> O �� <br /> fEE <br /> NOTE: BERN RACEWAYS MEC OR ACICABL�UIRED TO � a� <br /> CJ � <br /> CITY OF EVERE7T LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby ce21y vN�aat I heva read and axamined thla appilocetlon and know rhe same to ne hue and r G1� 1-� <br /> whrether speclfiad heroln or not nThe p'ra tinp of�pormlt does�ot�resume fo 9r�au�hon�to 1 `, <br /> pe�onr�ance�of cons�iuctlo�n nThet I em eutho�?ed by�e�ow�of thlsprope�to�pe�m�the <br /> 298 200 WAC.epP��caGon fs made end!comply wlth the Stets Contrecrors I�w 18,27 RCW end <br /> / r � � <br /> .� <br /> pneturo <br />