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�ECTRICAL PERMIT AP�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 />I � � � o Y � % VY.-i�.�, � � , _ t� <br />PROJECT ADDRESS: �' %'.- �_ � 2�+�,�f ' ? ' / � + <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: $ J, � L_ <br />NUMBER OF DEVICES (if low volta e: �� <br />r <br />FIRE ALARM? ❑ YES NO <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />� <br />DESCRIPTION OF WORK: ;��'�. � ,� 1�,� �'��' , �� <br />type of work will be completed whether specified herein or not. The granting of a permit does not p�esume to give authority to violate or cance/ the provisions of any other state or <br />local law regulating construction or the periormance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I <br />comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br />_� �; <br />;,� �� <br />� �� , <br />���/� <br />Agent Signature Date <br />City of Everett Otficial Use Only <br />FEE <br />�� <br />PERMIT # <br />E lca��Y-ol� <br />(Revised 10/12/2015) <br />