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� � <br />ELECTRICAL PERMIT APPLICATIUN <br />CITY QF EVERETT PERMIT SERVECES <br />3200 CEDAR STREET, EVERETT, W,R 9a201 <br />(P} 425-257-8810 ( FAX 425-257-8857 j(E) everetteps@everettwa.gov ( www.everettwa.gov/permits <br />AGftEEN1�NT T hereby certify Yi�at f have read and exareined this appiicai7on aod ks�ow the same to be Uue and correct, A�t provisians af laws and ardinances goveming tflis <br />type of �+rork wil! be Gamptefed wheihar speciiieci herein or nat. The granting of a permif dnes nat presume to givs auth4rity to violate or Gancei fhe pr¢visions of ary other stafe or <br />loca! law regufating construction or the per!ormance of cooslructJon. That � am authorized by the owner of this pro�erty to perform the work tor which application is made and t <br />campy with the Sfate Contractors Law 1827 RCW and 296.200 WAC. <br />r` t`i�. � ��a�a �� �� —� �a <br />ownerlAuthorized Agent Signature Date <br />City of Everefi Offrcial Use Onty <br />FEE <br />��J � <br />v �J � <br />PERMIT # <br />� � ' �. �,� <br />(Revised i0/12/2015j <br />