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ELECTRICAL PERMIT APPLICATl4N <br />CiT'Y OF EVERETT PERMIT SERVICES <br />3204 CEDAR STREET, EVERETT WA 982d1 <br />{P) 425-257-8810 � FAX 425-257-8857 j(E} everetteps@everettwa.gov � www.everettwa.govlpermits <br />PRt?JECT SITE INF'ORMATION <br />ADDRESS: i G�' �_:��f- <br />LDING AREA (if residential, new construction, remodel, or <br />A � �-1 <br />_ ,, � . <br />TYPE: � SFR-DETACHED O SFR-ATTACHED ❑ DUPLEX � MULTI-FAMILY -# OF U <br />+- � w° .- <br />OF BUILDING: ,-';� f j �? #=`,. <br />f�COMMERCiAL <br />���o .v , cy�,���„y cvn�rrucuon or [ne perrormance of construction. That 1 am author2ed by fhe owner of this prppeRy to perform the work tor which appkCatron is made and i V <br />compty with the State Contractors Law J8, 27 RCW and 296.200 WAC. <br />! <br /><!� - , , � :� � ; <br />., �. <br />��� � ���'�° �'�.�� �',% ".� �.� ;�". <br />OwnerlAut Qrizet( Agent Si ature Date <br />._- ............._.r-� , _ <br />City of Evere(t OHicral Use Only <br />FEE i� <br />� I��o� <br />� <br />PERMIT # <br />E � - �� <br />�'Revised 10/i2/2015) <br />