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�LECTRICAL PERMIT A�ICATION <br />Ey 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 cerfify that 1 have read and examined this application and know the same to be true and correct. A!I provisions of laws and ordinances governing this <br />type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cance! the provisrons of any other sfate or <br />loca! !aw regulating construction or the performance of construction. That I am authorized by the ownar of this proparty fo perform the work for whlch application is made and I <br />comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br />Owner/Authorized Agent Signat�{F�1 � � Date <br />City ol Everett Olficiel Use Only <br />FEE � <br />� � <br />v <br />PERM IT # <br />EI �� -b2 <br />(Revised 10/12/2015) <br />