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E�CTRICAL PERMIT APF�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: Q i ` �� :'� � � <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: e c � - ; j.-• (� <br />ELECTRICAL APPLICATION INFORMATION <br />CONTRACT PRICE OF WORK: $ '! ('' �� ` - <br />NUMBER OF DEVICES (if low volta e): /� ,' <br />FIRE ALARM? � YES � NO <br />ASSOCIATED BUILDING PERMIT # if a licable :�V <br />DESCRIPTION OF WORK: {' � ° �' l � i1 t �; ' ��� � ;` � <br />l�t�? v� �'d�l � � �. � <br />AGREEMENT: 1 hereby certify that / have read and examined this application and know the same to be true and correct. Al/ provisions of laws and ordinances governing this type <br />of work will 6e compieted whether specifred 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 performance 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 />� <br />Owner/Autharized Agent Signature <br />Date <br />City of Everett Official Use Only <br />PERMIT # <br />E �c�c�—c gZ <br />(Revised 9/23/2016) <br />