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�i.ECTRICAL 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 APPUCATION INFORMATION <br />CONTRACT PRICE OF WORK: $ � j ��,'� � <br />NUMBER OF DEVICES if low volta e: ��� r�' ^� �,� �'Y1Ll, \ t' <br />FIRE ALARM? ❑ YES :C� NO <br />ASSOCIATED BUILDING PERMIT # if applicable): <br />DESCRIPTION OF WORK: �a • S�'_ G��� �S "79 � �� o��� �-� S�—' <br />�� d��o s � '��e d� v'� ������ +�i �-e� � <br />� 5/ Q/ � d (� �T /�- S C <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 not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br />local /aw regulating construction or the perfo�mance of construction. That I am authorized by the owner of this property to perform the work for which application is made and 1 <br />comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br />� -__._',l . ..__).� , ,J <br />J _ � <br />�' f �-"5 ���. <br />Owne <br />City of Everett Official Use Only <br />FEE <br />'� •_-► j �\.C� <br />�l�'J <br />PERMIT # <br />E l��'�' � <br />(Revised 10/12/2015) <br />