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� <br />�- <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES 3200 <br />CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 j FAX 425-257-8857 j(E} everetteps@everettwa.gov � www.everettwa.gov/permits <br />AGREEMENT. T hereby ceKify that l have read and examined this application and know the same to be true and correct. A!! provisio»s of laws and ordinances goverrring this lype <br />oi work wi!! be campleted whethsr specified herein or not. The gra�t/ng of a permlt does nof presume to gNe authority to viol2te or Cancel the provis±ons of any other stafe or <br />focal /aw regulafing constructron or the performance of conslrucfion. Thaf 1 am authorized by the owner of this propeRy to perfo�m the work for which applicatron is maoe and I <br />comply with the State Contractors Law 18.27 RCW a�d 296.200 WAC. <br />� .� <br />Owner/Authorized Agent Signature <br />°� � /� <br />Date <br />City of Everett O�cial Use Onl <br />�EE <br />�� � �� <br />PERMIT # <br />E � �S� <br />(Revised 10H2/2015) <br />