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(P) 425-257-8810 <br />�ECTRICAL 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 INFORMATIaN <br />PROJECT ADDRESS: v�1 � q �J� (�V �i V � Wr1 ���LD �j <br />BUILDING AREA (if residentiai, new construction, remodel, or addition) SF <br />BUILDING TYPE: ❑ SFR-DETACHED SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: ❑ COMMERCIAL <br />USE OF BUILDING: SI {� <br />ELECTRICAL APPLICATION INFORMATION <br />CONTRACT PRICE OF WORK: $ � � <br />NUMBER OF DEVICES if low volta e: <br />FIRE ALARM? ❑ YES NO <br />ASSOCIATED BUILDING PERMIT # if a licable : <br />DESCRIPTION OF WORK: Z�/1 ✓`GVtI � 1P9}�lS <br />type of work will be completed whether specified 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 />local law regulating construction or the performance of construction. That I 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 />�� <br />City of Everett Official Use Only <br />FEE <br />� ��,� <br />PERMIT # <br />E l�d�- I�� <br />(Revised 10/12/2015) <br />