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ELECTPJGAL PERWHT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />OL 3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />liti"L-L-mt--N I: I 110reby ceffiry that / have road and examined thla application and know the some to be true and correct Allprovislons of laws and ordinances governing this type <br />of Work will be complated whether specified heroin or not. The granting of permit dress not Presume to give authority to V101618 or cancel the provisions of any other state or <br />local law regulating construction or the performance of construction. That I am authorized by the ownorofthis property to perform the work for whkh appficatlon Is made and I <br />comply with the State Contractors Low 18,27 RCW and 296.200 WAC. <br />Owner/Authorized Agent Stgnature Date <br />City of Everett Offlclef Use Only <br />PERMIT 4 <br />E Iq C�! - 015(o-j <br />(Revised 912312016) <br />