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Sep 07 16 03:58p p.2 <br />� � <br />ELECTRICAL PE�IV�Ii' APPLICATION <br />GITY OF EVERET�" PERM17 SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 � FAX 425-257-8$57 �(E) everetteps@everettwa_gov � www.everetEwa.gov/permits <br />PROJECT StTE IN�ORMATION <br />PROJECi A�DRESS: �(Q f � '�J��-%�l -�-�- � (�� �,�)� �r�x <br />BUILDlNG AREA (if residential, nev✓ construction, remadel, or addiG'on) SF <br />BU1L�lNG TYPE:� SFR-DETAC}1ED � SFR-ATTACHED ❑ DUP�EX ❑ MULTI-FAMILY- # DF UNITS <br />USE OF BUILpI <br />❑ COMMERCIAL <br />- ----- --� ��• -� .• •�� �rr,.�W�,�„ �„� ��,v.�- �„r odrnC �o ne rrue ano correct. AJ provisions of laws and ordinances goveming this <br />fype of work wiA be com,oleted whether spec�ed he�ein or not. The granfing of a permit does not p�esume to give aulhority fo vrolate or cancel the prov�'sions o/any ofher state or <br />Ixa! law regulating constructiw� or the perfomrance of cronsWefion_ That f am authonzed by the owner of this property to perform the work for which app6cafion is made and 1 <br />comply with the Stafe Confractors Law 18.27 RCW and 296.200 WAC. <br />� <br />.�-�o e.��' c� �- <br />Date <br />City of Evereft O(ficia! Use Only <br />FEE <br />�5.�� <br />PERMIT # <br />E � � 0� �- bSC� <br />(Revised 10/1?J2Di5) <br />