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ELECTRICAL PERMIT APPLICATION. <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425457-8857 I (E)everetteps@everettwa.gav www.everettwa.g€ivlpermits <br /> .,',gerstiripktlIVOUVLA.7.11-.0N „, <br /> PROJECT ADDRESS: 4401 31st Ave SE, Everett, WA 98203 <br /> 8UiLOiNG AREA(if residentiel,new construo1ion,remodel,or adcritiori) <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SPR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY #OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Home <br /> : J i.,@ <br /> .... 0 s .� It 'Il•l- .... ". .. ` <br /> 0141 <br /> CONTRACT PRICE OF WORK:$ 2100.00 <br /> NUMBER OF DEVICES tf law voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#Of applicable): <br /> i:IESCRIPTIONOF WORK: Add 7 Circuits, t receptacle,and£ ce `ig <br /> OWNER NAME:loth BrownTENANT NAME 'Commercial): <br /> _OWNER NG EW r 440131st Ave SE. <br /> ... _.. crry Everett STATE WA ztp 98203 <br /> OWNER PHONE: 4' "» +r'( - y OWNER EMAIL: 1..1S-J4 : �� <br /> CONTRACTOR N • %A/Of Electric Company <br /> cotaaActoa A SS ,4616 25EA NE <br /> cm(Seattle STATE WA zrE 98105 <br /> CONTRACTOR PHONE: 206-719-6 .Y "CO CTOR'EMAIL: OBITly@WOReleCY`triC.COITiparly <br /> CONTRACTOR LIC.#(REQtlhRED): WOLFEEC843J2 CITY OF EVERETT BUSINESS LIC,#(REQUIRED):Applied for <br /> ,.,,,.� s...v"„,rs s m. v...,.�.��",.,�ma. -Ram.„�. ,...�.ma _.e.... .. R_ <br /> ...., m,n;...,.. ,--,,.,_....g. .,.,.:..,-«,�-- .�s_r-..ate."�++�ew.a..-.rw�+<,,.. <br /> PRIMARY CONTACT: D OWNER ®CONTRACTOR 0 OTHER(Please Specify) 9 -4 <br /> CONTACT NAME: CO TACT'PHONE: 206.71,9- <br /> , <br /> ,Da <br /> 7 9- <br /> ,Da n tI '- ACTEMAIL. darillyaW0IfSMCiTiC.COTTIparty <br /> AD E t i t hada mod and examined this same lobe trio and comet Ad othythiona <br /> at work will be ornererert whether specdied heteet or not The gr of a permit doeurtot presume to gyre sabot*to vi€tate a€cattcetthe phavisidna ot any alter state or <br /> local law regulating construction or the performance ofcon$tructian, That I em 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 298.200 WAC. <br /> City of Everett Official Use Only <br /> Owner/Authorized Agent Signature Date (Revised 9,2312018) <br />