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�,�►� <br />�r� <br />�ECTRICAL PERMIT A�ICATION <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: � Z �( .��c� ' � � ��/ -r � , ����3 <br />BUILDING AREA (if residential, new construction, remodel, or addition) SF <br />BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL <br />USE OF BUILDING: �.� ���..� . <br />ELECTRICAL APPLICATION INFORMATION <br />CONTRACT PRICE OF WORK: $`^' `�% �.� � <br />NUMBER OF DEVICES (if low voltage): <br />FIRE ALARM? ❑ YES ❑ NO <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />DESCRIPTION OF WORK: , � � � � {� •� ' — (,,./� � — �� � <br />.._ ,r : � \ <br />type of work will be completed whether specified herern or not. The granting of a permit does not p�esume to give authority to violate or cancel the provisions of any other state or <br />local law regulating consfruction or the perFormance of consfruction. That l am autho�ized by the owner of this property fo perform the work for which application is made and 1 <br />comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br />Owner7Authorized AqBrtf Sfpnai�Fe / Date <br />City of Everetf Official Use On/y <br />FEE <br />V" <br />�i�a,' <br />PERMIT # <br />E � � � , ��,� <br />(Revised 10/12/2095) <br />