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08/iz/2016 FRI 9:09 FAx a25 2�1666 CM xeating �009/003 <br />• <br />ELECTRIGAL PERMIT APPLICAT�ON <br />, CITY OF EVERETT PERMIT SERVICES <br />3200 CEpAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 � FA�C 425-257-8657 � t�) �verattaps@everattwa.gov � www.everettwa.gov/permlts <br />�YNd ui worx wm ue c�mprerea wnetner spgol/!ed h�r91n oinol, 7ha gruntlhp ol e permlt doos nol prosume fo qlve aufhorlfy to �lolate or oanoal fHe provlalons of eny ofher 81ate or <br />loee! /aw repu/aflnp cansfR�ctlon or the per�orrn4nCa ol Consfruotlon. That 1�m eufhOriz9d by f11e ownar of thls property fo pertorm Ihe work /or whfch epp!lcatlon Is med� and 1 <br />comply with the SfetA Contr�ctora Law !8, 2T RCW end 2&8,200 WAC- <br />1r / � <br />• � <br />E�� <br />OwnerlAufhorl:ad Agent 9lanature Dete <br />C/ty of Everott OrylClel tl9e Only <br />F� <br />`�- S . o � ;� <br />PERMIT # <br />� ��� � �� � <br />(ReVfsed 90/72/201�J <br />