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��.ECTRICAL PEF�MIT APPLIGATIaN <br /> CITY(JF EVERETT P�RMIT SERVICES <br /> 3�t��CEC�AF��TF�EET, E'�iER�TT, WA 98201 <br /> {P)4�5-257-88'iQ � FAX 4�5-257-885� � (E}everetteps c'�7a everettwa.gov� �nrvwv.ever�ttwa,govtp�rmits <br /> PRC'��ECT �IT� lNRt�RMATI#�N <br /> PRC?JEGT ARG3RES5: �. <br /> BUIIDING AREA(if residential,new consfruction,remodel,or additian} SF <br /> BUILdlhIG TYPE; SFR-DETACHED C1 SFR-ATfACHED �DUPLEX �MUITI-FAMILY-#OF UNITS: I�COMMERCIAL <br /> USE OF BUILP31R�1G: � �!� <br /> EI�ECTRICAL APRLi��T10N IN�ORMATItII� <br /> CC��J7RACT P�tICE(}F WdRK: $ �,� <br /> NlIMBER pF DEV#CES if low volia e : <br /> FIRE ALARM? GI YES I�NO <br /> ASSC�CIATED BUILDING PERIIIlIT# if a IiGable , <br /> D�SGitiPTlGrN t)F WC?RK: �'"'' <br /> C�NTA�T Mt���R,�A"�"1C�N <br /> OWNER NAME, TEPtANT NAME li Gommercial : <br /> OWNER MAILfNG ADDftE5S: srrt�r <br /> CiTl` STA7E 3�F � <br /> " OWf�IER PHONE: c,J, aWNER E1fAAil.: <br /> , <br /> �� <br /> CONTRACTQR 1VAME: <br /> CQFITRACTI'�i'�ADC)M2ESS: sr�teEr , �� . <br /> C1TY 97AT@ 21P � <br /> CONTRACT4R PHQNE. s CONTRACTOR E�AAI[.: <br /> Gt?NTRACTCiFi LIG.#(RE((1UIRED): CITY{7F EVERET7"F3tISINES8 L,IC.#{t�EQUIR6t7}. <br /> PRlMARY CC7NtACT; 0 OWNER �NTRACTOR ❑C}THER(Please S¢ecify) <br /> Gt?NTACT NAME: GONTACT PHQNE• ; <br /> � Cf?NTACT EMAIL: ° <br /> A�REEMEfVT.I hereby ae�tify fhat t H&ve read and e�ramrned this appficatfon and krrow the same to 6e tra�e and carrect. AIf provisions af laws artd ordirranees govemrng this type <br /> o!`watk wil!be compieted whether speciried herein or not. The granfing ot a permit dtr�s rTot presume to give aufhorrty tcr violate ar cance(the�vrsrons ot any other si&te w <br /> loCaT faw regulaHng cartsfruct±an or the per/ormance oi Constructton. Zhat 1 am autharizsd 6y ths owner af this propeRy to perlarm fhe�va�k for wh�ch apptication is made and 1 <br /> compiy wrth the Sfate Corztractars Law 78.27 RC4Yanc!298�200 WAG., x� <br /> Crty trf Everett Offrcial Use Qnfy <br /> P�RMlT# <br /> .� � E � �� -- oC� � <br /> � <br /> t7whsrfAuthorized gent gnature Date (Revised 9J23t7U18j <br />