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�LECTRICAL PERMIT A�LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320d CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 � FAX 425-Z57-8857 �(E) everettepsQeverettwa.gov � www.everettwa.gov/permits <br />" " - _ . _ __ _--_ ___-__.' ` ___ T�..____.. _._ ...._.. _.._ _....._'_ __ "_' ...,.......�...... .,.. �. .............� v. ,v..0 w�.v vr�umn�vo yvror�nrry trns <br />type of work wlU be completed wheHrer specil� h8rern or not. The granting of e permR does not prssums to give authoriry to vwlate or pncef the provisions of any other state or <br />Joca! !aw regutafi� constnJctio�r or the performence of consfn�ction. Th� ! am euthon'zed by the owner oilhis property to perform the wwk !or which application is made and 1 <br />comply wrth the Sta(e Confrdctors Law 18.27 RCW arnf 298.200 WAC. <br />OwnsrlAuthorized Aqv(�t�$fgnsturo [ f Date <br />Crty of Everett Oli5cial Use OnJy <br />FEE <br />� (�� � �> C <br />PERMIT # <br />E �lrG % �5 � <br />(Revised iQ/17J2015) <br />