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ELECTRiCAL P�f�MiT APPLICAT'�ON <br />CiTY OF E�/ERETT PERIVIIT SERVICES <br />�200 CEDAR STR�ET, E�/ERETT, WA 98�201 <br />425-257-$810 - FAX 42�-257-8$57 — www.ever�eitwa.otg <br />APPLICATIONS AR� ACCEP7�p FROYY! 8 AM TO 4 PM <br />�'�� `1 5���, �I,.� �v�� <br />PRa�cr a�o�s <br />S'o/� 1�; � ' .,, ., <br />Qwrser [u�aif Addc�as <br />. � �p Phona <br />7en0nt Nleif Attdroas City $tBteTLtp ph0 <br />�o�t'� il� `�C,�l�.� �SQ� � C7 _ � 3b0� <br />�..� ok ���� 1 . � k G��a7o ��y3, <br />EIeGtP€caI Corttradnr Malf Addr�ss '� —"� •�-•- — — <br />. a=Y StRteCGP Phona <br />. Rv�� °��i C -�sb�� <br />3taEe Licser}ae Number ContraCt rlce of WOrk <br />/r[/ A�"Li.c.d �d-.r.4 .r� <br />�mPased 1Jea Of ullding <br />3c�uere Fc�btaqe (If festdentia3 new construction, reRtodet or addiUon) <br />Corttad Person (Plen Rev��yj <br />Des«ipiion of woitc to ee oone: %/ e:-� /�/ G,gra� �.�4, p,�,� �p� s1�� �� !i'Lc�w � S�v,�r�. <br />� �;r.--.._�_,— <br />7�o Nl.,..� .� .�- F�., s��c I� l� ��..,., ���.� �►�..- 5..� �� e�• fi- �,�� � l� � <br />�_ <br />�� � � <br />NO'�E: WERINCi !N NON-DW�L�.INGS 1S REQI�lRED TO <br />BE IN RAC�WAY3, MC OR AC CABLE . <br />Gm' O� EVERF[T �GCAI. SALES T4X CObE !S 3'!OS <br />! hereby oarb'ly firat / yarv� re� $� exemined this sppllcatlon and know fhe sAme to b� � and <br />correc� A!! sions of lews and art�lnanaas goV�eml�g thrs type o� WCu1t rv111 b6 cprnplefed <br />wheU�er a� h�r�in or noi The grarrting of a p8m,�t does not presurylB iO gjyg atRt�P/r�y fo <br />�iolsfe or aancel•the mvlsfosns of any ott►er s�g � Ixal /&w r9guJetirrgr Cons6v�pn or tire <br />pw+crfc��whlch ��� s�made end I c�mp� �yth�e StateeCan�cto�a �w 1�� RCW erld <br />296.200 WAC. <br />�(�..�J-,�rc. �'- �'-'/ `1 <br />�l�o�� ���� <br />