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• <br />u <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 />PROJECTADDRESS: ?jJ��J �IP2`�//�/' � �1/�/'e�, �i(/f�' C%�',��%?j <br />BUILDING AREA (if residential, new construction, remodel, or addition <br />BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX <br />USE OF BUILDING: uc�(,{,S� L%1C� <br />SF <br />LTI-FAMILY - # OF UNITS: � � ❑ COMMERCIAL <br />ELECTRICAL APPLICATION INFORMATION <br />CONTRACT PRICE OF WORK: $ Q Z`7I. 3 <br />NUMBER OF DEVICES (if low voltage): � <br />FIRE ALARM? G�'YES ❑ NO <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />DESCRIPTION OF WORK: /�/� �'j C� !%%�CLiI CL //� Ce /' "'f-e/7j o i�?Pef �OCQ� <br />��f.T �,���� i�G r u�r f-.� . <br />of work will be completed whether specified 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 fhe owner of this property to perform the work for which application is made and I <br />compty with the State Contractors Law 18.27 RCW and 296.200 WAC. <br />o/i 3/Zal <br />Owner/Authorized Agent Signature <br />City of Everett Official Use Only <br />PERMIT # <br />Elt���.- <br />(Revised 9/23/2016) <br />� ��� <br />