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• • <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />32�� CE�P�R STREET, EVERETT, WA 9a201 <br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECTADDRESS: �� r' �;��� •/r ",�� ,p�" 3 %,^ -�'''�'' � �'� ��"po <br />BUILDING AREA (if residential, new construction, remodel, or addition) '�iJ�({I"�' ��U� 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: $ � t f� �, <br />NUMBER OF DEVICES (if low volta e): <br />FIRE ALARM? ❑ YES NO ���'� <br />ASSOCIATED BUILDING PERMIT # (if applicabl : �'p <br />DESCRIPTION OF WORK: � F• �?' �"� r,; �1 . � � ..���,��JC � (,j �� ` , jF'�' <br />cNl V � <br />> <br />.� <br />type of work will be comp/eted whether specifred herein or not. The granting of a permit does not presume to give authoriry to vio/ate or cancel the provisions of any other state or <br />local law regu/ating 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 I <br />comp/y with the State Contractors Law 18.27 RCW and 296.200 WqC. <br />�� <br />City of Everett 0(ficial Use Only <br />FEE <br />�\� - `J � <br />PERMIT # <br />E �c�o� - 2� �- <br />(Revised 10/12/2015) <br />