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(P) 425-257-8810 <br />�CTRICAL PERMIT AP'�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS: b `�1 Y S �v <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 />ELECTRICAL APPLICATION INFORMATION <br />CONTRACT PRICE OF WORK: $ '� v <br />NUMBER OF DEVICES (if low volta e): <br />FIRE ALARM? ❑ YES ❑ NO <br />ASSOCIATED BUILDING PERMIT #(if a licable): <br />DESCRIPTION OF WORK: � l� � ►/ (��� � ✓ � �� i..� S � - l%C- �� <br />,� <br />=�-.�� � 1 <br />AGREEMENT: T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this <br />type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authoriry to violate or cancel the provisions of any other state or <br />local law regulating construction or the performance of construction. That I am authorized by fhe 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 />Owner/AutF}ofizei3 Agent Sig <br />,� C��(� l ( �� <br />Date <br />City of Everett Official Use Only <br />FEE <br />�'��j , D� <br />PERMIT # <br />E I � � � ---� �I � <br />(Revised 10/12/2015) <br />