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01/06/2016 20:31 <br />(P) 425-257-8810 <br />#7744 P.001/001 <br />E�CTRICAL P�RMIT AP�ICAT�O� <br />C17Y OF �V�RETT PERM17 8�RVICES <br />3200 CEDAR STR�ET EVERETT WA 98201 <br />, , <br />FAX 425-257�8857 �(�) sveretteps@everet�nra.gov � �wvw.everettv�a_gov/permits <br />AGREEMEN7r 7' here6y certiiy fhat 1 t�ave read snd examrnBd lhls application and know the same to 6a true snd corrscL All provislons oflaws and ortlinances gQveming this <br />�pe of work will bo complefed tivhethe� spocil,ed herain ornot. Tha qranting of s parmit doss not presurne to glva aufhonty to violato or cance! fhe provisions of any ofher state or <br />loca! 1aw r�qulating construct/on or the performance ol construction. That / am authorhed by tha owne� of ihis property to peiform thE work for which applicai;on is made and I <br />comply with tho Stato Contracfors �aw 78.27 RCW and 286.200 WAC. <br />� <br />thorized Agant S[gnatura <br />City of Everett O�cial Use Only <br />F�E <br />- �►� ��a <br />P�RM17# <br />E 1 ��(�0�'� <br />(Revised 10/92/2015) <br />