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�CTRICAL 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: ; � � f G , TN �C., - � �i� � r �;�}- � �.� . <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 />ELECTRICAL APPLICATION INFORMATION <br />CONTRACT PRICE OF WORK: $ , , � �� <br />NUMBER OF DEVICES (if low voltage): <br />FIRE ALARM? ❑ YES ❑ NO <br />ASSOCIATED BUILDING PERMIT # if applicable : <br />DESCRIPTION OF WORK: � `�%�-I <'UCv �/ �w {�Lt'/i�/ <br />�-/ �/U �t,. ��-� L- / �� '— "� s %/t,� j %�'C� <br />��� %�°h �Y'� �' ° � �� �=� �'���- �-- � . �;.c;' %. <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 ordinances goveming 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 violate or cancel the provisions of any other state or <br />local law 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 1 <br />comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br />Agent <br />City of Everett Official Use Only <br />FEE <br />�- S . �� <br />PERMIT # (�- � <br />E ��a� '�� '� <br />(Revised 10/12/2015) <br />