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��� <br />�LECTRICAL PERMIT AP��I���`�������� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR S �REET, EVERETT, WA 9£32U i <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 this application and know the same to be true and correct All provisions of laws and ordinances governing this <br />type of work will be completed whether specified herein or nof. The granting of a permit does not presume to give authority to violate or cance/ the p�ovisions of any other state or <br />locaf law regulatrng construction or the performance of construction. That I am authorized by the owner of this property to pertorm the work for which application is made and 1 <br />comply wifh the State Contractors Law 18.27 RCW and 296.200 WqC. <br />' �- 9-r3� �C� <br />2L�c��L`�-�K.Z�v� <br />Owner/Authorized Agent Signature Date <br />City of Everett Official Use Only <br />FEE <br />� `��ZD�`�° <br />PERMIT # <br />E��O�-��l% <br />(Revised 10/12/2015) <br />