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tie'd �d101 � • <br />�J`"I —�co� <br />ELECTRICAL. PERMfT APPLiCATION <br />CITY OF EV�R�TT PERMIT S�RVICES <br />3200 CEDAf� STREET, EVE�2�TT, WA 98201 <br />(P) h25-257-8810 � FAX 425-257-8857 �(E) everetteps�evereitwa.gov � www.everettwa.gov/permits <br />AGREEMENT.� T he�eby certlry ihst I ha�e raaci and Axeminod llrls appflcadon endlu�ow U�e srime to ha hue end corrgct, AN prov�lorrs orlaws entl orr9nances go�m�ng tn�s <br />type of worlc W!t! ba comrNotoO wliather spedlled h�ln or not The grsnting ot a pem�t does not preewne to ghre uuthorl{y to vrblate or cex� vre provlslans ofany otl�er staie or <br />local !aw n�gulaeng co�utiuct/on or the perfoimencs of oonstnatbn. That 1 em eutnonzod by t!re owrrar of thls pr�pcarry to parlorm the w�xk lor vmlch appllcatlon Is nr�cle ond I <br />ppmpJy Wltir fAA STato Contractas Lew 1B_27 RCW nnd 296.200 WAC. <br />9/2 <br />thorlxed Agent Si�nature <br />Dale <br />City of Everett OfTrciei Use Only <br />F�E <br />�S .C�� <br />PEaMIT # <br />E � C�o� -- l.� �j <br />(Revised 10/1?12095J <br />TBitiO'd 66L9 ZL9 SZb J,lI�-IJ1���� ab:80 9tieZ-9Z-d�S <br />