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� <br />�- <br />• � <br />ELECTRICAL PERMIT APPLICATION <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: � • /'�j �j I /Z / �1.� <br />BUILDING AREA (if re �dential, new construction emodel, o addition) J �� SF � <br />BUILDING TYPE: SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: ❑ COMMERCIAL <br />USE OF BUILDING: ! 1 L� <br />ELECTRICAL APPLICATION INFORMATION <br />CONTRACT PRICE OF WORK: $ �, % ,. � � <br />NUMBER OF DEVICES if low volta e: O <br />FIRE ALARM? ❑ YES G�10 <br />ASSOCIATED BUILDING PERMIT # if a plicable : <br />DESCRIPTION OF WORK: Z" NtA"'� � A �"j r- <br />.. �/ � � <br />f -� �'o,! f� � G <br />/- z.� �e- <br />AGREEMENT. 1 hereby certify that I have read and examined thi's application and know the same to be true and correct. All provisions oflaws and ordinances governing this type <br />of work will be completed whether specified herein or not. The granting of a permit does not presume to give authoriry to violate or cance! the provisions of any other state or <br />local law regulating construction or the pertormance of construction. That I am authorized by the owner of this property to pertorm the work for which application is made and I <br />comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br />City of Everett O�cial Use Only <br />PERMIT # <br />E�C�IC�--�o <br />(Revised 9/23/2016) <br />