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� <br />,�►�- <br />�•%�� <br />�ECTRICAL PERMIT AF�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: �- '�C( '� , <br />BUILDING AREA (if residential, new construction, remodel, or addition) SF <br />BUILDING TYPE: ❑ SFR-DETACHED � FR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: ❑ COMMERCIAL <br />USE OF BUILDING: <br />A(iKttMtN 1: I hereby certity that / have read and examined this application and know the same to be true and correct. A/l provisrons of /aws and ordinances governing this <br />type of work will be completed whether specified herein o� not. The granting of a permit does not presume to give aufhority to vio/ate or cancel the provisions of any other state or <br />local /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 I <br />comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br />��I���1� <br />Owner/Authorized Agent Signature` Date <br />City of Everett Official Use Only <br />FEE <br />� ��j',�v <br />PERMIT # <br />E i�a�J F�� <br />(Revised 10/12/2015) <br />