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EVERETT ELECTRICAL PERMIT AFFIDAVIT <br /> Cod.Exs.nv ons: <br /> A p coo y ownr,rpron a lessee m/y pvdwM a pwr A b do an dwCrlry rM&S~or PO&%w own or�.,.'•f W&OW P.QP" u�dv rw <br /> Mndiaons aswts <br /> dwwe N OCW 192&2(]1 <br /> nonP114 odpaabn w.T antro M w.nq 9"ka of aro 1PO 1 nagw4m mqwQ~mer parolee an OOMVA l pwww w On[row"RCYO <br /> is 2s.Ostp� <br /> I am applying for the property owner wxdrnptmm yndw the fbgowWg conditions: <br /> You must Nttct the option flat appilrs to your sJhmtlon: <br /> I*wear~po wl of pwyoy VW <br /> 13 1 w"•rwpessnsd gum Owww or oft ween*s 1rww"001mm mm"oanw0 t+►y"Wm a WOW*wlw I am M(►rwra <br /> oonrrcow <br /> on ' <br /> I terww under parwoo of pa}/y wW I am <br /> The ownr of rest pnpgrtf of <br /> ❑ T11e wftw or Mane d rsw papal IV (Yoo"%M prordt s w WQw t om tw aw nw d h W WM11 W_dr p«r"Sm on kr You M e» <br /> 10W 10 PO 001 OOMWAO" M We WQW?y) or <br /> ❑ A nor+praM cOr WOOn h1 holds s anwd top awrrpt sore ao podded 1r10p►2s USC SOC S01(.CX3)a a n_VON_ <br /> of9wunson,and h solei•W%*to ev aMctnrN wort eusn ra waoaad"Naewd aspn Mv.000 00) <br /> AND <br /> You must soloct the OPtiOn that a ins to your emlatikm <br /> ❑ A wVe Artiy rw.rewrr"TENT Ii NOT.arae ler rrl pow.a M»APD I w@ be pw%mmft OWV to w1Kaltaf work MO I ad <br /> OCOVY NW residence kr 41 WW 24 WO"WO aflar CO V1040 d Hw 411001AP wort <br /> A NEW 2.2.or a w"rsordwrd/proparl,9W tS rgrves4 los rarl wCrMo <br /> . a AND m O ran <br /> Ww a mpAwtf some&Aw d pre <br /> ❑ wrpIOW60(s)std be dw10 to sNOVO work ANO 1 wd ocapY orV d tw wft kv at MM 24 y%ae+s alkn odwpl.Wn d rw atacs+cal <br /> work <br /> ❑ M E20STM t.2.3 or 4 ant rpwdprwrl pa0sr Iy VW IS r to do b owl s.N.or Msp AND nrysset andbr.Papa*sr1+pOJsO and <br /> Paid ernpsvyse(s)w.l be 0"Ow OkK*%cd eat_ <br /> ❑ A lane AND 1.psi so wily,a dkw a(.o,iwy scAOSA.d and pod OROO"t)wd be do""srpctroW wort. <br /> An EASTWOO placed h arlaws AND t prrsawy.andbr.rap/ry scfwAMO wd pad an+s k i m(s)wets ftM tw wocsnosl work <br /> ❑ A NCW pleb+of bwrwa tel r NOT M.wbsd br wk NO,or Map AND I,pnauway.woo►a rwp,Nr1Y sUpaapd W4 pre <br /> allpbyww(s)wd be dmV 11`1e alsatrlrat work or <br /> ❑ G?rr pWaty tet r NOT rdo dad for owl sal.or Mea AMID 1.pVW Oy Woo a rwv,Arly saan <br /> vO/sd d pod rpOYp«.1 wd by <br /> dorN M aMcilto wort <br /> 1 are a nomprodl corpOraear twt Adds•anad to aw1t MMA as provrdad cede 20 U S C SOC SO h,!)tl)a•norproM ssgars <br /> ❑ agwtsabom and M iew www we"$off-MsW1, wal deM mm owowd tMy H4Nb w Ocda►s(IX 000 001,a"d M"mcal eat <br /> wd bw Ow1a'rwd DY app�oplMMy Osrtiw0 sssO'Ktarls a oarlhlad and wpanwwd lrrwws ryo an wrvwssnnp and ra hsrlp <br /> co,,v,%mW for alwtr+cal work pr RCW t 9 2*09lf T1 <br /> I AGREE and wrlsh to purchase an OWCO cat*emit under the conOM4e-diter"A atldllr• <br /> �N�iSf-!A Go�� - <br /> o-wr S90,..,r Dow —LZC <br /> /.I.... ►pr}"paw' <br />