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�ECTRICAL PERMIT AF�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 I FAX 425-257-8857 I(E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />ELECTRICAL APPLICATION INFORMATION <br />CONTRACT PRICE OF WORK: $ 1�'j '' <br />NUMBER OF DEVICES if low volta e: <br />FIRE ALARM? ❑ YES O <br />ASSOCIATED BUILDING PERMIT #(if a licable): <br />DESCRIPTION OF WORK: �Gli ��1 '� �"�'�1 S ZT1 L'� S�R.-lI �� <br />AGREEMENT: T hereby certify that 1 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 wil! be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions ot any other state or <br />local law regulating construction or the performance of consiruction. That 1 am authorized by the owner of ihis property to perform the work for which application is made and I <br />comply with fhe State Contractors Law 18.27 RCW and 296.200 WAC. <br />; �� <br />City of Everett Official Use Oniy <br />FEE <br />� �l �'. °%' <br />PERMIT # <br />E � (� DZ.- 6'l5 <br />