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09/30/2016 TUE 1�:33 FA� 425 252 1666 CM Hesting �j403/003 <br />�CTRICAL PERMIT AP��ICATION <br />C17Y OF �VERETT PERMIT SERVICES <br />3200 CEdAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 ��AX 4�25-257�BB57 �{E} everetteps�everethva.gov � www.everetfwa,gov/permits <br />.,r- �, r•�,� ��,�, �a ��„�Y,o�d� wr,emer apew�feo narem ar not. The q�enNng Of d permlt dov8 not presume fo gNo eulNorlty to v�olete or cance! the provlslons of eny othar s�ete or <br />/oca/ law regWeBng aonstrucflDn w Ihe palformanca otoon,sfr�Cf101r. Thal / am aufl�or�Zed by Ihe owner of th/s properfy !o petform !he work lor whlch appllCetlon ls made and I <br />aomply wHh the Sfata Ca�rrocfor8 Lew 98.27 RCW And 2BB.200 WAC. <br />Owner/Authorized Agent 9lgnatu�e Date <br />Clry of Everett Otllclel Use Only <br />FE� <br />�5��� <br />�'ERM'T a" <br />� ('� — , <br />(�evlsed 90/92/2018J <br />