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�ECTRICAL PERMIT AF�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 I FAX 425-257-8857 I(E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />ELECTRICAL APPLICATION INFORMATION <br />CONTRACT PRICE OF WORK: $ �� �I �" <br />NUMBER OF DEVICES (if low volta e: <br />FIRE ALARM? ❑ YES ❑ NO <br />ASSOCIATED BUILDING PERMIT # if a licable : <br />DESCRIPTION OF WORK: �'fl �� � ��- Y1�Z�I�I�'� S �� <br />I��C� � ��r-�,S <br />AGRE�MENT: T hereby certily that I have read and examined this application and know the same to be irue and correct. All 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 authoriry to violate or cancel the provisions of any other state or <br />local law regulating construction or the performance of construction. That 1 am authorized 6y the owner of this property to perform the work for which application is made and l <br />comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br />� <br />City of Everett Official Use Only <br />FEE <br />(�t���� <br />PERMIT # <br />E Ic�G�- o�o <br />