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s �► <br />ELECTRICAL PERMIT APPLICATION <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: � p�, �; S F �� E'j''c` ►�►� A l. L l.Li C� <br />BUILDING AREA (if residential, new construction, remodel r addition) ,Z U SF <br />BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: �'EOMMERCIAL <br />USE OF BUILDING: �p 'f l L� <br />ELECTRICAL APPLICATION INFORMATION <br />CONTRACT PRICE OF WORK: $ �r 5 � y`-' <br />NUMBER OF DEVICES (if low volta e): �j <br />FIRE ALARM? ❑ YES �NO <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />DESCRIPTION OF WORK: � � �. �c ,�, -c� �, (`3 'T'�� �'�-�v,, o S � � ( 5 ��.15 a �j� <br />AGREEMENT T hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this <br />type of work 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 pertormance of construction That I am authorized by the owner of this property to 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 />� 'L � <br />Agent Sign ure Date <br />City of Everett Official Use Only <br />FEE <br />��b��. <br />PERMIT # <br />E � - �"1 � <br />(Revised 10/12/2015) <br />