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(P) 425-257-8810 <br />�ECTRICAL PERMIT AI�LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREFT, EVERETT, WA 98201 <br />FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS: $530 9TH AVE SE <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: �/'� ' ' �Q� <br />ELECTRICAL APPLICATION INFORMATION <br />CONTRACT PRICE OF WORK: $ OO <br />NUMBER OF DEVICES (if low volta e): <br />FIRE ALARM? ❑ YES EYNO <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />DESCRIPTION OF WORK: <br />GAS FURNACE REPLACEMENT LIKE-FOR-LIKE ROTATE 90 DEGREES <br />AGREEMENT: T hereby cerfify 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 authonty to violate or cancel the provisions of any ofher state or <br />local law �egulating construction or the performance of construction. That I am authorized by the owner of this propedy 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 />City of Everett Official Use Only <br />FEE <br />� � �V �� <br />4 <br />PERMIT # <br />E 'I �(�' Z�°l <br />(Revised 10/12/2015) <br />