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���a��f�s�� ����'� � L,I��Q►�'��i <br />CITY OF EVERETT PERMIT S VICES <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 INFORNIATION <br />PROJECT ADDRESS: �j� � s ��� ��c��, f� `1'J"� �l'� <br />BUILDING AREA (if residential, new construction, remodel, or addition) 5F <br />BUILDING TYPE: ❑ 5FR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY- # OF UNITS: ❑ COMMERCIAL <br />USE OF BUILDING: �j�}N VL � � � L� � t�.Q j'('V <br />ELECTRICAL APPLICATION INFORMATION <br />CONTRACT PRICE OF WORK: $ c� OC3� ^— <br />NUMBER OF DEVICES (if low voltage): <br />FIRE ALARM? ❑ YES ❑ NO <br />A �� ��2 � � � °� �,2. <br />DESCRIPTION OF WORK: �—}J �('�. � � �'� '�C�'� � � �'—j� NH'G�'� � �i�L� <br />{Z ' c� <br />AGREEMENT.� T hereby certify thaf I have read and examined this application and know ihe same to be true and correct. All provisions of laws and ordinances governrng this <br />type of work will be complefed whether specified herein or not. The granting of a permif does not presume to give authority fo violate or :ancel tire provisions of any other state or <br />local law regulafing construcfion or the performance of construction. That I am authorized by the owner of this property fo perform the work for whrch applicafion is made and ! <br />comply with the State Contractors Law 1827 RCW and 296.200 WAC. <br />7 <br />Owner/Authorized Agent Signatu <br />Date <br />� <br />C;ity of Everett Otfrcial Use Only <br />FEE <br />��� � �� <br />� �i� . � <br />PERMIT # <br />E��,� -�� �`, <br />.. <br />(Revised ?0/12/2015) <br />