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G <br />� <br />� <br />ELECTRICAL PERMIT A��LICA�'i0�9 <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: � � � v1;� �U ''� � (iV� � ? � � <br />BUILDING AREA (if residential, new construction, remodel, or addition) SF <br />BUILDING TYPE: ❑ SFR-DETACHED I� SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: ❑ COMMERCIAL <br />USE OF BUILDING: � � (�� ��� ��� � � S j � �� � � <br />ELECTRICAL APPLICATION INFORMATION <br />CONTRACT PRICE OF WORK: $ � L�% ' �� <br />NUMBER OF DEVICES (if low voltage): <br />FIRE ALARM? ❑ YES NO <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />DESCRIPTION OF WORK: �y1�j �j � '�"►lrl►'1 �i ,r��' (J , K� <br />� I 1 <br />Ci Y" 1 1��� 1 �`! <br />AGREEMENT: T hereby certify that 1 have read and examined this application and know the same fo be frue and correct. All provisions of laws and ordinances governing fhis <br />type of wo�k 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 periormance 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 wifh the Sfafe Contractors Law 18.27 RCW and 296.200 WAC. <br />City of Everett Official Use On/y <br />FEE <br />�Q•C�C� <br />PERMIT # <br />E �c�o� — �23 <br />(Revised 10/12/2015) <br />