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��w!'�_ <br />�� <br />�ECTRICAL PERMIT A�LICATION <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: / j/� � �,�,C (1.� J` �" � <br />BUILDING AREA (if residential, new construction, remodel, or addition) :2�-bC� SF <br />BUILDING TYPE: SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: ❑ COMMERCIAL <br />USE OF BUILDING: S� V� �C C�(��� d t ��[ �'►�r--C. "' l C`� I'�+ f'(��' �1 ti-�'vt� <br />rype of work will be comp/eted whether specified herein or not. The granting of a permit dnes 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 r,onstruction. That I am authoiized by the owner of this property to perform the work for wYrich application is made and I <br />comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br />.��-�- <br />oW�— e�� <br /><� <br />Agent Signature <br />�5 / 3 �/i (.� <br />Date <br />City of Everett Official Use Only <br />FEE � <br />�' �0�,°% <br />PERMIT # �g <br />E� ��"� ��� .�� <br />(Revised 10/12/2015) <br />