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� � <br />ELE�CTRICAL PERMIT APPLICATIC)N <br />CITY C3F EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EV�RETT, WA 982Q1 <br />FAX 425-2�7-88�7 �{E} everetteps@everetiwa.gov � www.everetiura.gavlpermits <br />,� L TRICAL APPLICAT1tlN INFt1�RMATi4N <br />CONTRACT PRICE O� WOF2K: $ 6% � <br />Nt1MBER OF DEVICES if low volt <br />FIRE ALARM? ❑ YES 0 NO <br />ASSOGIATEQ BUILDiNG PERMIT # if appiicabiej: <br />o�scR��TioN o� woa�c: (MCE Job #359426} Installing 3 new check stands <br />fiGREEMENT: i hereby ce�fify that f have read a�rd examined this appJtcadon and know the same to be frue and carrect. A�1 provisiorts of Jaws an4 ordinances gc�verning fhis type <br />of wo�k wit! be compteted whether spacified herein or noL The grantirtg of a permit does not presume to give au{horiry to vialate or cancet tha provisions of any otner state or <br />locai Jaw regulating canstructron or the perfornranca of construcUon. That t am authorized by the owrrer of this property fo pertotm the work for which appiicatlon is made arrd ! <br />cc�n��ty with the Stats Conttactors Law i8.27 RCW and 296.20Q Y✓AC. <br />� � <br />� <br />��9����,�rt � r,���. <br />City af Evereft Df/icial Use Only <br />� M' i ��� �- z�-c � <br />�-�o-� � <br />Date (Revised 9/23/2016) <br />