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Dec- 2B- 10 03 : 19P P •�Z <br /> ( <br /> ELECTRICAL PE;RMIT APPLICATION <br /> CITY OF �VERETT PERMIT SERVICES <br /> I 3200 CEDAR STRFET, EVERGTT, WA 98201 <br /> 425-257•8U10 - FAX 425-257-8857 -www.everettwa.or9 /� -a- �-/� <br /> — -- APPLICA710N3 ARE ACCE PTED FROM 8 AM TO 4 PM C/O/Z -��� j <br /> —I <br /> i <br /> �� //O y� �L �� �- <br /> PROJ[CT AOORESS <br /> /�E'C�fri •`�ii� �/�� �/O�� f'�,7� �'r.r.� ��.LOrd" �/zs- 3y7- zsS/ <br /> f.)v:nqi� 61ad AAJress COy Slale/Zry Pnooe <br /> In•i;inl I.Antlqr�tlres� Gly tilal�;Zip PhCno <br /> �,/.,/.r 5�/ �' Sr.•v��._ ��D/_ z'�',� F�� �l'�S�Lo/ </15"131` .L� <br /> r.r.trir.�l Conir3Clpi Mail Adanms Cily StnlaZiD Pnu��v <br /> _�l 9NSS/h�2_�p /CrAO� ' <br /> ' `�ieie L���nn�r. Numbor --- -�' Contract Prlte oI Work � �� <br /> I � � I <br /> --�� _ <br /> i����:�u,e�: Us�: nt PudJ�n�� Conlact Person (Plan Review) <br /> 1����ti��ri�it�nn t�l Woik lu He Unne: 1/��C �j'�S s //Pd �,t7:�.-tU /-!��-rh'�pc�j� /j 7/� I <br /> I -- ' . _ .._ �I <br /> ' _ I <br /> r�1C�T[ WIRING IN NOW-I�W ELLINGS IS REC�UIR[D TO fEE � � <br /> � R(' IN I:l1i:t.�VP,YS MC OR AC CAf3LF <br /> � <br /> CITV OF EVEREI�LOCAI bALE9 TA%CODE IS 3105 <br /> � n���„�L� i rrtrlp Ihnt I hp1cN iPdJ MnJ UYUnIU1Bl1 Ou5 nppli�pf100 p11U FIIOW fhB 58018 f0 AE fNB 9110 <br /> :� �rr��rr� ,UI p���vcu��ns nt laws anJ orJ�ne�nros yovernmy flus fypo ul work wrll6e cornpltr7ed I <br /> ��!,o(+u.i :.I'crihcJ h[vprn or nul The�ranl�ny ol e purmA vaes not vrosumo fo pivic eufhonfy fo i <br /> � , :,.�tA o� r,�n�.r:l lhe`nc��isirn�s o!nny o(br,i sfafn or Ivcwl law repulelin,q eonstrutt�on o�fhe <br /> i i�r�l,arnnnzr ol cunstrucl�an 1h9f 1 em q�i�hOnlAd hy/h6 oWp01 0l Ihis ioPerty fo peAnrm!he <br /> �� ���:r,�:vU 1tn�i�� �l�I'Iwnhnn i.s nlddP And I rnnlplyWrffl illa Sf9fU COIIIIOCPrs LaW iB 7712CW Pnd � � <br /> � ° / �-� n�a - � � `� I <br /> �. i <br /> i - -<��� /�;_ �',�-in <br /> tii nalu�o Dale <br /> -�- . _.... - _. _ . .�..___„___ � <br />