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���TRI��L �E�MI�' A�L���4TIOIV <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 />PIiOJEC7' SITE ItdFORi�A7'I�N <br />PROJECT ADDRESS: -,�`E 2-2 N\ �• (x. `a I1re��' <br />BUILDING AREA (if residential, new construction, remodel, or addition) i�-��' SF t�e�n"�� <br />BUILDING TYPE: ❑ SFR-DETACHED �SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-# OF UNITS: ❑ COMMERCIAL <br />USE OF BUILDING: J��S, �� ,r,� fi<i � <br />ELECTRICAL APPLICAI'IOI� 9NFORMI�TION <br />CONTRACT PRICE OF WORK: $ £iG��c�`=� <br />NUMBER OF DEVICES (if low voltage): �� s t'' �' I�'�'��'u- /�� <br />FIRE ALARM? ❑ YES L�NO <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />DESCRIPTION OF WORK: ��,„� ex�5-h �lo,; - �'lv ��r�{ Sc;�, /�c<- v.��r�� �'I:�<'dvt�.�til <br />r` V � �D /�l� �V �I�Y <br />AGREEMENT: T hereby certify that / have read and examined this applicafion and know the same to be true and correct. All provisions oflaws and ordinances goveming ihis <br />type of work will be completed whefher specified herein o� not. The granting of a permit does not presume to give aufhonty to violate or cancel the provisions of any other state or <br />local law regulating construction or fhe performance of constructron. That I am authorized by the owner of this property to perform the work for which application is made and 1 <br />comply wifh the State Contractors Law 18.27 RCW and 296.200 WAC. <br />d Agent Signature <br />!r �o <br />��— <br />Date <br />City of EveretP Official Use Only <br />FEE <br />PERMIT # <br />� ��l��r l � � <br />(Revised 90/12/2015) <br />