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J�iL-20-2012 12�51 ELECTRI—CITY <br />425 672 6799 P.OSi01 <br />-�" p'i T <br />L�L�CTRICAL PERMIT APPLICATIOtV <br />CITY 4� EVERE7T PERMIT SERVICES �� ao- �� <br />3200 CEDAR STREET, E"VERETT� WA 98201 ��7 ���' <br />425-757-8810 - Fl+X 425-257-a857 -www•everetlwa.org � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM 70 4 PM <br />7 R o S C.�Ar .,t...- w <br />pROJE.CT ADDRESS <br />�2,v.•�o 11 y l�-y s <br />� Ownet <br />Tenant <br />rldc-���C�-� I�c 2 <br />Electripl Cordrdctnr <br />Cl,GGTl #- lio dA <br />g�ate License Num6er <br />�7ti � <br />proposed U� of Buildng <br />Maii Addmss <br />Mal Address <br />oeB S6� W <br />Mail Addres: <br />cny <br />City <br />cro <br />StatdZip <br />StetefLiP <br />� <br />i>ta Wdr <br />5tnte(L�P <br />Phona <br />Phono <br />`�Z{� <br />aYe G7Z'G74'1 <br />��%OJ oe <br />Contrad Price oT Wor1c <br />Contad Person (P�an Review) <br />Phono <br />� ,USIr O.-� '�.v C-.� <br />Do�ti;puonofWorkroBoDona: /2�^ osG� w n �`' <br />NOTE: B��N RACEWAYS MC OR AC CABL�� IRED TO <br />CITY OF EVEREIT LOCAL SALES TA% CODE IS 3105 <br />/ horoby cortify thet I have rood 6nd oxaroinod lhic appliceGon ond <br />corrocl. All provrsiom of laws end ordinances goveming fhis type <br />whetho�cpoc�od herein or not. 7he gmnfing of o pormd does nof <br />viola(e o/'Concel (he pmvisions oI eny offio�stafe o�locel Imv mgu <br />FEE <br />3(obefrueand L1�`��✓" I '� <br />completed <br />ie nuUionty to <br />tinn or the <br />'o peilorm the <br />'827 RCW end <br />TOTRL P.O1 <br />