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ii4�14;:i�li 14 5; <br />Q2298 P np1/u01 <br />ELECTRICAL PERMIT APPLICATION � <br />CITY OF EVERETT PERMIT SERVI�ES i S_�3 �' <br />3200 CFDAR SIRFET, E\'ERETT. WA 88201 �i ` <br />425•257-BB10 FAX 425-257•865'/ — www.everattwa org G��1� _� � <br />yzs � <br />�`laCi >U(C ti.��'_ 1�_....�- c tt �zrrt�v y� II <br />PROJECT ADDRE56 w�, q� ��� <br />�Gtlr _.�✓ii/���i,l..d1�- ��350 S L�f�o�� v2 /�`�-- � <br />��, SIOtl/2ip PhOnO <br />�1e� , Mail Atltl�Bs4 <br />I <br />i _" <br />fanant <br />! Eledncnl Conlradof <br />Mall ACOrese <br />� <br />MW AtlCro�a <br />��l-#/l/ SS' / �.Z�� <br />I��te Lieense Number <br />r�� <br />NroDo�atl Use ot Hu�ldinp <br />Squere Poologe Uf resitlentl�l new constru�Kion, remcdel or �ddit�on) <br />Numba� ol devieec (II low volleye) <br />Descnplion ol Work lo Be Dono <br />Ciry <br />Cny <br />SIitO�ilp <br />StatvZip <br />��� �� ' Pho11B <br />as9 .2�,; , <br />+ �•.i7 ���... . <br />._:..�. ...... <br />Contect Pereun (Plan Rav�ew) <br />U <br />GITV OF kVERETT LOCAL BALkS TAl( CODE IS 7706 <br />, i nernpy r.n.4�ly Naf 1 havo r0atl nntl naommed Ihis a;�plica6un End know fAe yamr !o Ue I�u9 dntl <br />'I �piiy�� All prowsions ul:aws dnd oMinences govemrny thla ryps ol woM wrll be completnd <br />, whefnv� spec�Netl henm ur rwf Thn gr,3nGny ol a pemuf fh�ae not procum� to p�va authonty fo <br />! ao�ata or canr,ol the prov�sions ol eny ofAer alxro o� locel law repWuting conswcfron ur fhe <br />pelloimtlncn o� � �9tNCf10/t. 7h9! I flrtl Sup�onzed by fb� uwne� of fnie property tu pnAnrm fhn <br />. wo�ir lor wh�ch piicalion is maJa anU 1 comply wrtn the Sfata Conlrac ors Law 1 t) 27 RCW end <br />I ?96 @OO W <br />' /�� , Y/,s li � _ <br />� ,, , s.. ,: : , <br />.� -- -- - <br />Phone <br />_ _� <br />� ret � <br />���� �� <br />�PERMIT# � � <br />�E' i ",1 ;,�ia <br />� <br />