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f�b 8� 2013 11:03A�� Cno�mish Eletiiit <br />�do.6785 F 1 <br />� <br />ELECTR�CAL PERMIT APPLlCATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, FVERETT, WA 98201 <br />425-257-SB10 - FAX 425-257-8857 - www.everellwa.org <br />APPLICA710NS ARE ACCEPTED FROM D AM TU �: PM �� g�3 <br />C-136Z�a 5� <br />�I 21 �l q� �2 J� <br />PROJECTADDRE55 <br />�� �.� �i a,ti�, � <br />o�v�N� <br />Sdm <br />ono �12-1 q <br />Cdy <br />�ZS - 3 l q . <br />q,� �� � ����1 <br />SL•ilc2lp Phone <br />ren�nt rnaiinaarosr. c�ry siaierzip 11� 33S. �7 <br />�� <br />�n�harn�l�... �I��}r�c ��1e. �o go,� a�g �n�1�0�1L�Wl�- �52�1) <br />EICclriealCOnlf�ClOf �dailAddro55 Cdy SlnlelZip Phonn <br />5�'o I-}0 �. L(10 � h/ �--t �,0 , o a <br />S�ale �iconse Number Conlracl Prico of Work <br />Proposed Use of Bwldm{� <br />Square Fonlnpc (II res�danhal new conslruction, remodel o� addipon) <br />o�����,���o�, o� W��k ��� Ho oo„� I n s-�,� t� z h a1-1ti, <br />NOiE. WIRINC IN NON•DW[LLINGS IS RFqUIRFD �'7 <br />BF_ IN RACE' WAYS, MC OR AC CABLE . <br />Conlacl Pcrson (Plan Review) <br />ns <br />CITY OF [VERCTT LOCAL yALES TAX CODf IS J106 <br />i he�o6y cr�rti/y Ihaf 1 havu �oad a�0 e:rrimined Ipis apqlico(inn snd know IhB seme to he truo ar�d <br />correcG !Jlprovis�nns o! /n:•�s und o�U�nancos �Jovemmg fhi; Iype ol �voik �vill he complofod <br />wholhoi spociOeJ bnrein or noL Iho qrenf�np o/ a po�md does nofp rosum� f0 (/ive oulhorify lo <br />vi0loln or esncul fhy !)/OVISI004 O/tlny p(h0/ SIOIO O� IOCJ/ l"JV//Bf/lllal�ng r.onsbudinn orlAo <br />puAo�manco ot construchnn Ihaf I em nulhnrizo� bylhn ownci nllhi5p ropnr7y (o pr,rlonn fho <br />wnik lnr whlch app6calron is mnde nnJ ! r,omply �:��Ih fhc ;�afo Caifraclnis Lmv 1 a 77 RCW nnd <br />z-�-13 <br />�re —ry—�_ _ _— <br />�� w <br />�130Z- 05� <br />