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�CTRICAL PERMIT AP�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 />ELECTRICAL APPLICATION INFORMATION <br />CONTRACT PRICE OF WORK: $ qt{D <br />NUMBER OF DEVICES (if low volta e: <br />FIRE ALARM? ❑ YES 0 NO <br />ASSOCIATED BUILDING PERMIT # if applicable : <br />DESCRIPTION OF WORK: Or�dlO�e �u�V�,�IN <br />type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to vio/ate or cancel the provisions of any other state or <br />local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I <br />comp/y with the State Contractors Law 18.27 RCW and 296.200 WAC. <br />City of Everett Official Use Only <br />FEE <br />`�j � U.i <br />l <br />PERMIT # <br />E f (�Q ��� �� <br />(Revised 10/12/2015) <br />