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� <br />�- <br />�.ECTRICAL PERMIT AP�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9E201 <br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS: ` ti�� � t `� �Z-i <br />BUILDING AREA (if residential, new construction, remodel, or addition) SF <br />BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: ❑ COMMERCIAL <br />USE OF BUILDING: � ' <br />ELECTRICAL APPLICATION INFORMATION <br />CONTRACT PRICE OF WORK: $ GU — <br />NUMBER OF DEVICES if low volta e: <br />FIRE ALARM? ❑ YES ❑ NO <br />ASSOCIATED BUILDING PERMIT # if applicable : <br />DESCRIPTION OF WORK: �`�, ' )� L � Z " , J�( � ' '� �[� <br />AGREEMENT: T hereby certify that! have read and examined this app/ication and know fhe same to be frue and correcG Al! piovisions of laws and ordinances goveming this <br />type of work will be completed whether spec�ed herein or not. The granting of a permit dces not presume to give authority to violate or cance! the provisions of any oiher state or <br />local law regulating constrt�ction or the performance of construction_ Thaf I am authorized 6y the owner of this property to perform the work for which application is made and I <br />comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br />�� <br />Agent Signature <br />City of Everett Official Use Only <br />FEE <br />V" <br />� ' �,� <br />t� <br />PERMIT # <br />E I �I -- 2� <br />(Revised 10/12/2015) <br />