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� <br />� <br />�ECTRICAL PERMIT AP�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: 2 ��� • e �-}G <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: � <br />ELECTRICAL APPLICATION INFORMATION <br />CONTRACT PRICE OF WORK: $ Z�S • <br />NUMBER OF DEVICES (if low voltage): <br />FIRE ALARM? ❑ YES NO <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />DESCRIPTION OF WORK: � <br />AGREEMENT.' T hereby certify that / have read and examined this application and know the same to be true and correct. All provisions of /aws and ordinances governing this <br />type of work will be completed whether specified herein o� nof. The granting of a permit does not presume to give authority fo violate or cancel the provisions of any other state or <br />local law regulating construction or the performance of construcfion. That l am authorized by the owner of this property to pertorm the work for which application rs made and I <br />comply with the Stafe Contractors Law i8.27 RCW and 296.200 W,4C. <br />�,�- � � g��� <br />Owner/Authorized Agent Signature Date <br />City of Everett Official Use Only <br />FEE <br />�1 l�D;° <br />� <br />PERMIT # <br />EI��D��a� <br />(Revised 10/12/2015) <br />