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ELE�T�ICA� �'��(ilt1T APPLICATIUIV <br />.� �•�- CITY OF CVFRf�1�i PERMIT SERVECES <br />3200 CCCaA� STFiE�T, EVEf��1-f, WA 98201 <br />(P) �25-257-881Q � FAX �25-257-8857 �(E) everetteps@everettw�.gov � www.evereftwa.gov/permits <br />AGRF_f.MFNT.� T horeby cartty fhst ihctve rer+d and examfned fhls appflcatian end know tho srirne fo ba truu and corroct. Ail provfslans ollnws nnd orrlinanaos govnmfnr� crns <br />typo af wotk v+01 ba eromplotud whefher spactfied harairr or not, 7'ho {�mnllnp ola permi! does not pr�sumo !n grvs euthonty fo vfofeilb o� csncs! fhe pmv(sfons af arry olher stafa nr <br />I[7G'flI IAIN I'BQUIQIIf1Q Cf7/lulrucUon ar tha performance� o/ consiarcticm. 7hnt 1 am Quthor(zod Ly /lro owner oi lhTs proporty !u porform tho wnrk Iar whlch applicatlon !s modv and 1 <br />comaN wNb !ho Stele Cnntructora Lew 1 U.27 RCW and 288.200 WAC.. <br />"� .��.r, �� �� } 5 _, <br />OwnsrlAuthorized A nf Slgnaturo aatn <br />Clty of Evorelf O�cloi lJse QrtJy <br />FEE �', <br />���� '��j <br />i'ERM1T # <br />E'�� �lC <br />(Rov/sod i0/12?Oi5) <br />