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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 ��Q'3 •-II <br />425-257-8810 - FAX425-257-8857—www.everetlwa.org C'r��5� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM ?O 4 PM <br />S �/(� /`X � �� �JP <br />PROJECT ADDRESS <br />-�� �i v Dc �,., /,� �i��i � 4� � � <br />��e; Mall Address Clty State2ip Phone <br />Tenant <br />Mail Address <br />� <br />!� ��'c •'� `�3Z � <br />Contrector Mail Address <br />City <br />J'�, �i,v /Z�� <br />,�, . ��� �� �'rY��r'v — <br />� <br />State cense Number <br />Proposed Use of Building <br />Description of Work lo Bo Dono: <br />City <br />Slale2ip <br />ni �J Gt�/f e <br />Slate2lp <br />Yz3 , <br />� �c=� � " <br />Contract Price of Work <br />Conlact Person (Plan Review) <br />NOTE: BERN RACEWAYS MC OR ACICABLEUIRED TO <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certi/y Ihaf I have reaA and examined fhis applicafion and kr,ow the same to be true and <br />correct. All provisions of /aws and ordinances goveming ifiis fype of work will be completed <br />whefher specified herein or not. The granfing ot a permrt does not presume to glve authority to <br />violafe or cancel the provisions o(eny other state or local law reguleting construcflon or the <br />performance o( construction. That I am aufliorized, by fhe owner o/ fhis �roperty to peAortn the <br />w�.k ror which aeoHcation is made and I com,oly with tho State ConPrectors Law 18.27 RCW end <br />_� <br />FEE <br />Phone <br />