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�cCT�I�o�L PE���T AP'�LiL,�T'IOI"ri
<br /> �� ClTY OF EVERETT PERMIT�ERVIuES
<br /> ��- 320a CEDAR STi�E��', E'JERETT, U!!A 98��1
<br /> {�) 425-257-88�C� I �,�Y: 425-257-8857 ( (E) everetteps cC,veverettwa.gov � wrvav�.�v�rettwa.govf�err��its
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<br /> BUILI�iNG TNPE: � S�R-C�EYACr'sE�� Yd' =zFF�i-ATTACHEii O DUPLEX t� f;�1taLTl-FAMILY-f�C1F Uhi!7S: O Ct�MMERCIAL
<br /> U�E C7F B�1ILDIN�:
<br /> ELECTF2ICAL APPL6rATiON INF�JRMATiOf�
<br /> GONTRACT PRiCE OF WOf24(: $ `���� �r
<br /> NUNiBER O�F DEVICES (if fow vrPta�;�,:!.---w
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<br /> t;�NTACT NA19E. CQNTACT PHO�lE: ���-���t ���:���
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<br /> ca�n+;ly.�i!h the�:a':: ^�,,•t;;:.to�s;_a;ro'78 2�F.C✓�.:�?d 296 200 WAC.
<br /> �ity af Ever�Et�Jffrcial LJse dn/y
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<br /> PERMIT#
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<br /> Owner orized Agent Signature Date (Revised 923i2016)
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