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NOV/10/2016/THU 02:45 PM <br />Green��,�Qd Heating FAX No,206 462�1F <br />� <br />P. 001/001 <br />ELECTRICAL PERM�T APPLICATION <br />C1TY OF EVERETT PERMIT SERVICES <br />3200 C�I�Ai� Sil���i, �V�FZ�T7, WA 982p1 <br />(p) 425-257-8810 J FAX 425-257-3857 �(E) everetEeps@everetfwa_gov � www_evereitwa_gov/permits <br />„���� d,�,. �.���d�d.,y cwu,y u7ar � nave �eso ano exam�nea rqia app/rCBtlon 9pU knoW If1B same t0 be trY�a and correct. Afl provisions of /awa dpd om'/na/1Ces gov9ming this type <br />of work wil! be completed whethar spec�Ned hereln or noL The granUng of a psrmlf doss not prosume to give euthority to vio/ate or esncel ihe provlsloRs of any other siate or <br />loca� /sw regu/aUng consUuctlon or the psrforrnant� of consCrucflon. Thet 1 am authorized by fhe owner of this prpperty to perform th� worlc for which eppfication is made an�! I <br />comply wnh the S�sie ConPraciors l.ew 18,27 RCWand 29E.200 WAC. <br />Owner/Authorized Agent Signature <br />CltyoP�veretf Officiel Use Qr7Jy <br />PERMIT # <br />� E � � � c -- o`�g <br />ate (Revised 9/23/20i6) <br />