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� <br />� <br />� <br />�ECTRICAL PERMIT A�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits <br />AGREEMENT.• T hereby certify that I have read and examined fhis application and know the same to be frue and correct. A!I provisions of laws and ordinances govarning this <br />type of work will be completed whefher specified herein or nof. The granfing of a permif does not presume to give authority to violafe or cancel the provrsions of any other stafe or <br />local law regulating construction or the performance of construction. That ! am authorized by the owner of fhis properfy to perform the work for which application rs made and ! <br />comply with the 5tafe Contractors Law 18.27 RCW and 296.200 WAC. <br />Owner/Authorized Agent Signature <br />Date <br />City of Everett Otficial Use Only <br />FEE <br />� � <br />�� <br />PERMIT # <br />E l 0 - l2� <br />(Revised 90/12/2015) <br />