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� <br />�� <br />• • <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@evere#twa.gov � www.everettwa.gov/permits <br />ELECTRICAL APPLICATION INFORMATION <br />CONTRACT PRICE OF WORK: $ � 7 <br />NUMBER OF DEVICES (if low volta e: 25 <br />FIRE ALARM? ❑ YES NO <br />ASSOCIATED BUILDING PERMIT #(if a licable : <br />DESCRIPTION OF WORK: Z�AjcST�i %�O OI� �lrC%�IQ' C.,�� �� <br />Cw � �� <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 goveming this <br />type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authoriry to violate or cancel the provisions of any other state or <br />local law regulating construction or the pe�formance of construction. That 1 am authorized by the owner o! 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 />���..� 3�2z <br />e Date <br />City of Everett Official Use Only <br />FEE <br />� �� <br />PERMIT # <br />E � o�� �l � <br />(Revised 10/12/2015) <br />