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� <br />� <br />� <br />� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVEREiT PERD4IT SERVICES <br />3200 CEDAR STREET, EVERETT, Wl198201 <br />/3--��' �5 <br />��5�z-n3 <br />(P) 425-257-88�0 � FAX 425-257-8857 I(E) everetteps@everettv.�a gov � wwv✓ everettwa gov/permits <br />AGRc�NENl. T�ere�ycr4��yl�atlhavereadandexammetll��sapph;abonantlAnow(i�rSumeloDebuPen�co��ecf Allpromvonsonawsantlommance59oven��ngvus <br />typr ol c:ork will �e comp�eletl �v�efhe� SNeu�ie0 �em��i oi nol ihe granbng c� a pe�m�f tloes col f�esumc lo gue aufnor4ylo moble or cancN fhr prov�srons o! any olner slah- o� <br />C�aILlwieyWJf�ngconStrucLono�fOepeAormanceo�consfm<hoii Tl�a(Iamduflin�Retltiylhrov:nernllfiapropeirylopedc'mlhe��o�Nlorwhi[hdpphCal�o��i5matlea�Wf <br />c�^�p'y .:a!li �q<p Sfa'c Corztracloa La�c iB 27 RCIN and 196 ?00 bYAC <br />�����c___ � �, <br />Agent Signature <br />Gty olE�^ref1 OlGcial Use Only <br />FFE <br />� �5,°� <br />pear.air x <br />E � � <br />(Rensed 10/1717075) <br />