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C�:i. 9 i(�1= ;:�5?���:'� :���;� _.�:��r�f�; !�,.: <br />P!< ii1;�2 � 1i 1 <br />ELECTRlCAL PERMIT APPLI�A�TION <br />C1TY OF EVERET'7 PER�VI.IT SERVICES <br />3200 CEDAR STRFET, EvERGTJ'{�?NA98201 v O,` �y <br />425-257-8810 - FAX 425-257-Ofi57 �ivww.everettwe.org '' � � / D-OD� <br />c giu <br />. <br />�� � S� C�� �la�.� ����� E�- �S � <br />PROJECT ADDRESS <br />Ovmer <br />Elechlwt Conuaetor <br />1,1u11 A�yrutu . <br />!Aalt <br />AMill Add,eFF <br />Gty <br />Gy <br />'a,S� <br />Clty <br />SInIdLIP.� � <br />�� � <br />sio:amp : <br />�. t � Zs- <br />iViln':�.�. n c'.G <br />SIaiNZlp <br />Plor.0 <br />3 �SS <br />Phona <br />SoN �T�'-�9y�b� I 31�(3 <br />CI Evumft Duclnoss Llcenso Num6er (requlroG) <br />Stato Lleonse Number (roquired) h'� <br />r�p.Jj_�� (��1 ` 1 �I <br />cC Uso af BUIIOing _ CcnUncl Pd:., o War�C <br />� <br />SQuare Foocape (II rosldentlal nxw conswctlon, remodel or addWon) <br />Numhnr ot dovicay t low voltopu) <br />DescdpGon o� Waik lo Be Oono: <br />� eJc� . 42S-�i 7�-�.54�. <br />Ca�dnct Po�NContacl NumbedEmall <br />,. <br />CRY OF EVERETT LOCAL SALE9 7AX CODL" IS 710D � <br />I horoby rnRl/y fhnt 1 haw ren0 anJ oxamfned Ihls upfillcntfan and Nnow tlra sarne fo 60 We end <br />comxL All p�ovlrJvns of laws ond ortlinoneos yovominy thls typo of wark wlll be eomp(etod <br />�+hefhei speG!!od heroln or nof. iha �renUnO ol e parmll doos not pmsumo to give authoriry fa <br />vlolate or cancxl tho provlslons a! any oU�or ataU, oNocal luw royuluring wnsfructlon or fho <br />podormence o(ConsWc(ion. Thnf 1 nm aufhanioA6ylhc ownoro/ B�ls pmparty fo poNam �he <br />work !a w6icA app4cation is maEu and 1 compJy vnth fho Sh�fe Canbndors Law 18.77 RCW and <br />fiM:FD CG0.5%Y'�1 <br />FEE '\n v <br />I �lJ� <br />� <br />PERMiTN <br />Egf�;o-0�6 <br />