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(P} 425-257-8810 <br />� � <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits <br />UUo �2�5 i <br />AGREEMENT.� T hereby certify that / have read and examined th(s application and know the same fo be bue and correct Alt provisions of laws and ordinances goveming fhis <br />type o( work wi!! be completed whsther specllled herein or not. The granting of a permk does not presume to give authority to vlolate or cancel fhe provislons o( any other stafe or <br />loca! law regulating consfnrcllon w the perlormance of conshucfion. That ! am aatho�la�d by fhe owner o/ fhls property to perlorm the wak ior whlch appdcatkn !s made and 1 <br />comply wlth the Slate Contractas Law 18.27 RCW and 296.200 WAC. <br />6/15/2016 <br />Owne►lAuthorfzad Agent Slgnature Date <br />City o/ Everek Oli'icJal Use Only <br />FEE <br />�`l �. �% <br />PERMIT # <br />E ��(�C�� �� <br />(RevlSed 10/12/2015) <br />