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JAN-05-05 WED 10:41 AM EVEKETT PERMIT SERVICES FAX NO, 4co 257 8957 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857—www.everettwa.org <br />P. 01 <br />APPLICATIONS Ala_ ACt:EP'rED FROM 8 AM TD d pM - DrFUIT 6 CREDIT CARDS ARE NOT ACCCPTED <br />r�r:u.)E:c•r �.r�rJl;rss <br />CFged ...-- --• ----- .. - - --- - <br />City <br />slatr,2ip <br />Prone <br />Tr,•r:mt AlaiiAddress City stator7p �phooc <br />0,D4 Q,Wzgl m ; <br />r_I,;,;tl'i6,aLr,nlr:]C1^.r MedAderesc City <br />'•V.tn I!rt;rt::o t�lbabCr <br />h�inpG;cd ll;.,: ni 3ldldin;l �- ��� <br />State/Zip <br />�� ,soar ov <br />Contract Price of Work <br />Contact person (Plan Revicw) <br />Phorc <br />Dr rlrUon o11Jnf:: ;n r+� Dun,:: __f3 ci Ci_i L��= ., L UTCSTS L-� o Q) , RL PLAL4-C <br />_CL1.461s. <br />idCYi e: 4VIRi!it; IN HON-01NE:LLINGs IS REQUIRED TO <br />DI_ IN RAQVWAYS, MiG OR AC CABLE. <br />r_.1'ry DP rVFF•G rT I.0CA!.5Al.EEs "rAY COOS 1 , 3105 <br />1 Y,uro!iV Lt:l'GIV flut I haVa i e,, 1 ood ax&ruined Hits wrll., <br />r.I, <br />or i <br />a <br />ow the sane to be true and <br />wcr/r wIll bo eornpleted <br />csume to give aufhon to <br />ing construction or the <br />its proporlyto peryor7m the <br />7r--tors Law , B2RC W and <br />� <br />I Al <br />F�CcoS • 123 <br />FEE <br />6GH 100/100 d OIE•11 1199E1eE9Z 01810313 U-4108d Z0:60 90OZ-11-Ayo <br />