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AUG-05-2016 12�42 <br />ELECTRI—CITY <br />� <br />� <br />425 672 6799 P.01iB1 <br />EL�Ci(�ICA� PERMIT APPLICATIQN <br />CITY OF �VERETT PERMiT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98207 <br />(P) 425-257-8810 ��AX 425-257-$$57 �(E) everetteps@evereitwa.gov � www.everettwa.gov/permits <br />AGREEM�NT.� T hereby �ertlfy �ha� I have read and examined lhis applica�ion and know th� Samo l0 6p Pue and Ctx�'ect. Atl provlslons o�laws end ordinances governirtg ihis <br />rype af work w!!I be completed whelheor specified herein or not, Ttto ,gran(i�19 OI a pelmi! tloes Rol p�esume to glve authcrlty to violate or cance/ thB ptovisior7s 0/ any Ot11W stafe oY <br />loce/ law regulafing conStructiori tP ti10 pwiorM�RCb Of ConstrULY�OI+. Tl�st /8m aufhcvlzed by the owner of this property to perfoYm tho wdk lor Wllith applic,�llon 16 naade end I <br />Com/J!y W�lh fhe State Convectds Law 18.27 RCW end 286.200 WAC. <br />OwnerlAuthorixed Agent Signatu�e Da2e <br />City of Everett Olficral Use Only <br />FEE <br />���6��' <br />PERMIT # <br />� � � �, (� � � n �1 <br />� y � ,-� y <br />�� v <br />(Revlsad >0/1?J20�5) <br />TOTAL P.01 <br />