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ZB'd �d101 <br />• Ll" V->(p <br />ELECTRICAL PERMIT APPLICATION <br />CITY O� EVER�TT F'ERMIT SERVICES <br />3200 CEDAR STREET, �VERETf', WA 98209 <br />(P) 425-257-8810 � FAX 425-257-8857 �(�) everetteps@everettwa.gov � www.everettwa.gov/permits <br />AGREEINENT: T R[+rehy ce�tNy that ! Aaw resd and exar»In�r1 thls eppf�etion anH know the se»+e to Ba tnre and corrnct. AR proNsla�s ot iaws erra orarnanws gorenung �rrrs <br />lype ot aodc n�IN be complated whethar specltlad horetn or rrok 71,e gran�ing o1 a pem,+t does not pro�ume to glve e��Horiry to v!olate or cancsl tho prvvfs�ons of any other ste te or <br />k�ca1 fsw,�gulaNng construcflrn or the perfom�anoe ofc+onstructfon. Thst 1 em authorlred by the owner of thls �n�aearty to pe�form the wvrk lor wtrlch app!lct�tlon Is rr�ede end 1 <br />compJywlth thoSlateContrectasLew18.27RCwantl296.200 bYAC. <br />Afl¢nt Signature <br />� �3 <br />Date <br />ti Bi ti 0' d 66L9 ZL9 SZb 1,1 I�— I Jl���� <br />City ol Evmreft afficiel Uss Oniy <br />FEE <br />� �.. <br />�'�� �_ _ <br />) <br />PERMIT # � � <br />� ���� � � � <br />(Revfsed 70/1212013J <br />bZ:�l 9ti0z-�Z-d�S <br />