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� <br />� <br />�ECTRICAL PERMIT A LICATION <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 APPi.ICATION INFORMATION <br />CONTRACT PRICE OF WORK: $ 900 <br />NUMBER OF DEVICES if low volta e: <br />FIRE ALARM? ❑ YES �I NO <br />ASSOCIATED BUILDING PERMIT # if a licable : <br />DESCRIPTION OF WORK: WIRE FOR CUT FRUIT CASE <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 /aws 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 vio/ate or cancel the provisions of any other state or <br />local law regu/ating construction or the performance of construction. That / am authorized by the owner of this property to perform the work for which application is made and 1 <br />comp/y with the State Contractors Law 18.27 RCW and 296.200 WAC. <br />��c,s��.� <br />,>'" � � 7-29-16 <br />Owner/Authorized Agent Signature Date <br />City of Everett Official Use Only <br />FEE <br />�� `�'LJ <br />PERMIT # <br />E � c���--- — � � �- <br />(Revised 10/12/2015) <br />