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� <br />� <br />�ECTRICAL 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: � � Z —' U�, SE <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: <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 /aws 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 authority to vio/ate 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 />51 �z) � <br />Owner/Authorized Agent Signature Date <br />City of Everett Official Use Only <br />FEE <br />��. �i <br />PERMIT # <br />Ell���r�l� <br />(Revised 70/12/2015) <br />