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�ECiRIC�►L P�RIVII°T A,�L.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 S1TE IMFORM�rT1AN <br />PROJECT ADDRESS: 1 L Z- i ,JGt � �t ��t�f ���lt G4��it � � ^ J'-� � -' Z$�� ` <br />BUILDING AREA (if residential, new construction, remodel, or addition) �i � SF <br />BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: COMMERCIAL <br />USE OF BUILDING: <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 o�dinances govemrng this <br />type of work will be completed whether specified herein or not. The granting of a permif does not presume to give authority to violate or cancel the provisions of any ofher state or <br />local law regulating construction orthe performance of construction. Thaf I am authorized by the owner of this properfy to perform the work for which application is made and l <br />comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br />� <br />Agent Signature // Date <br />`7�`'��� il� <br />Ciiy of Everett O�cial Use Only <br />FEE <br />��� y � <br />PERMIT# <br />�U� l (�� � -�(�D2 <br />•(Revised ?0/12/2015) <br />