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� <br />� <br />• � <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320Q CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits <br />PROJECT SNTE INFI�RMATION <br />PROJECT ADDRE55: [j �'j'�. 1/� /a �� f�� , �" Ca <br />BUILDING AREA (if residential, new construction, remodel, or addition) SF <br />BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED � DUPLEX � MULTI-FAMIIY -# OF UNITS: � COMMERCIAL <br />USE OF BUILDING:�" OF W W) AI! <br />ELECTRICAL QPPLICATION INFORMATION <br />CONTRACT PRICE OF WORK: a ('�b <br />NUMBER OF DEVICES if low voltage): <br />FIRE ALARM? ❑ YES 0 NO <br />ASSOCIATED BUILDING PERMIT # if a licable : <br />DESCRIPTION OF WORK: {, �}h.l (., <br />� 1� b b c.� <br />AGREEMENT. T hereby certify that I have read and examined this application and know the same to be true and correct. All provisrons of laws and ordrnances governing this <br />type oi work wil! bc completed whethc� specifred hcrein or not. The granting of a permit does not presume to give authordy to violate or cancel the provisions of any other state or <br />local !aw regulating construction or the per(ormance of construcfion. 7hat I am authorized by tha ownr.r of this property to per(orm the work lor which appGcation is made and ! <br />comply with the State Contractors Law t8.27 RCW and 296.200 WAC. <br />� <br />- � .�1 �1 ���r� <br />Owner/ orized Agent Signatur¢ Dat� e <br />City of Fveretf O�cial Use Only <br />FEE <br />��D -DO <br />PERMIT N <br />E �b0�,- g <br />(Revised f0/12/2015J <br />