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�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 />A��REss: .�rg3(�F.ver�reen V�'av, l:verett VV11 98208 <br />UILDING AREA (if residential, new construction. remodel, or addition <br />SF <br />BUILDING TYPE: ❑ SFR-0ETACHED ❑ SFR-ATTACHED ❑ nUPLEX ❑ MULTI-FAMILY -# OF UNITS <br />USE OF BUILDING Retail <br />ELECTRICAL APPLICATION INFORMATION <br />CONTRACT PRICE OF WORK: $ iQp <br />NUMBER OF DEVICES (if low volta e): <br />FIRE ALARM? ❑ YES LJ NO <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />DESCRIPTION OF WORK: Wire �r�b n��o Case in cleli <br />� COMMERCIAL <br />AGREEMENT: T hereby certify that I have read and examined this application and know the same to be true and correcL All provisions of laws and ordinances governing this <br />type of work will be completed whether specrfied herein or nof. The granting of a permit does not presume to give authority to violate or cancel the provisrons of any other state or <br />local law regulating construction or the performance of construction. That 1 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 />r ,� ". <br />�. f- �� x .9 _.�<;,::� <br />Owner/Authorized Agent Signature <br />1 /25/16 <br />Date <br />City of Everett Official Use Only <br />FEE <br />�� � �, � <br />PERMIT # <br />E � -- �, <br />(Revised 1 0/1 2/2 0 1 51 <br />