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� <br />� <br />� � <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 />�, <br />PROJECT ADDRESS: ' — � � �' ��,�y� '� �j <br />BUILDING AREA (if residential, new construction, remodel, or addition) ��2-Vi'��a�C SF <br />BUILDING TYPE: ❑ SFR-DETACHED �SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: ❑ COMMERCIAL <br />USE OF BUILDING: � dfN�'Tp� <br />AGREEMENT: T hereby certify that I have read and examined this application and know the same to be true and correcL All provisions o( laws and ordinances governing this <br />fype of wo�k will be completed whether specified herein or noL 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 performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I <br />comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br />Agent Signature <br />te <br />City of Everett Official Use Only <br />FEE <br />�� � <br />PERMIT # <br />E i%o�-D?�f� <br />(Revised 10/12/2015) <br />