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04-07-16;02:28PM;From; <br />�ECTRICAL PERMIT A�LICATION <br />CITY OF EV�RETT PERMIT SERVICES <br />3200 CEDAR STR�,�T, EVERETT', WA 98201 <br />FAX 425-257,8857 � <br />(P} 425-257-889 0 I <br />To:4252578857 ;4257413521 <br /># 2/ 2 <br />� ( ) everetteps@everettw�.gov � www.everettwa.gov/permits <br />_----...._ --..•� .� �� ��o Q�,� ���cr. Au prov�s�ons oIlnws dnd ard/nnrrCes govominq thls <br />/oca!!aw e er ape od hera/n or nOt. Tho gisnt/ng of e pomrk d0es nof prgsumo to gfva authority ta vlo/nto or esnco/ tho provlslons of ony ofher state or <br />rogulaflrrg opnstnietfon or the parlormanco ofConstrurlion. Tha! l am aufhorized by �he ownor of thls Properly to parlerm fhe work (or wh/ch app!leat/on (s madA end l <br />cwnP1Y w/th tho S1a� ���� ��,y �8.27 RCW srtd 29&.2p0 {yAC, <br />Agont Signarturo <br />�c �� �► �, <br />Date <br />ClfyofEreratf OR7C/a! Uso Only <br />FE� <br />� 15�o�i <br />P�RM1T # <br />� 0 " 1� <br />(Revlsod 70/12/2016) <br />