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ELECTRICAL PERMIT APPLICATION <br />CITI' OF EVERETT PERMIT SERVICES <br />32�0 CEDAR STREET, EVERETT, WA 98201 <br />q25-25�-8810 - FAX425-257-8857-www•everetiwa.org <br />APPi.ICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />of �r �� �`�-� S-f" Sl�V —' <br />PROJECT AODRESS <br />OW'70f <br />Tenant <br />Electnca� Gont acror <br />Ma�i ACdress <br />Mail Ad:�c55 <br />.'Aail Actl'ess <br />E �=lv i N 1= ���o�U� — <br />SW1e Licer�se N�mber <br />�{S� �'�� A [" P <br />Proposed U=e ot Builtling <br />r�ieY�tt_ �1 ``t�>� <br />Ciry SlalelZp <br />C�, SIa:elZip <br />°'h I � 1 <br />/� <br />(t��2�� <br />�l�l�l l � <br />PMre <br />Phone <br />� 9 . - l�, <br />Phone <br />�i1 �lnoci �Lr o <br />ContraU Price of Work <br />i.� Y ��sscL' c� 2�� �'�I �•c �o°I <br />Contad Pe:son (Plan Reviewj <br />Description of Warkto Be �ore: �FI Ji i� i"y i� 1����"M� ��n� l• - <br />NOTE: BERN RACEWAYS MCLOR AC CABL�E. �RED 70 <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 heJeby ceR�ly that 1 have read and eramrnea lhis application ana knovi fhe same to be tme and <br />correct. A!I F!ov�s+ons ollaws arC orQinar.ces govemrng this type o(work wilf be completed <br />whefAer spe�ed herein ornot. Th.e grar,ting o/a pormit does nofp resume to giva authoritylo <br />violale or cancel f6e p�ovisiont olany otherstate or focal lavi regu�ating consnucflon orthe <br />per/ormance of construdion. That f am a�:Y,o�ized by Me ov+ner �fthis property lo p9Ao�m the <br />296 20a K'FC. apPr�ah'cn �s rraoe and i cemply �vith lAe Sfate Contractas Law 1827 RCW ana <br />Zd VLSL-Z98-09£ <br />FEE <br />�'ijC�. C C� <br />3 -vz� <br />�emayl uyo� dSS'£0 C� 90 1eW <br />