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�CTRICAL PERMIT AP�ICATION <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 />PROJECT SITE INFORMATION <br />PROJECT ADDRESS: ( lZ <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: �'j� <br />AGREEMENT.� T hereby certify that 1 have read and examined this application and know the same to be true and correct. A!I provisions of laws and ordinances goveming this <br />type of work will be completed whether speciFed herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br />/ocal !aw regulating construction or the performance of construction. That 1 am authorized by the owner of this property to perform the work for which application is made and ! <br />comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br />� <br />�-�.�� � ��t �,�,���,� <br />OwnerlAuthorized Agent Signature Date <br />City of Everett Official Use Only <br />FEE <br />��� +� <br />PERMIT # <br />EI�O(�-C�O� <br />(Revised 10/92/2015) <br />