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01011111P- ELECTRICAL PERMIT APPLICATION <br /> - CITY OP;EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257.8810 I FAX.42 -257.8857 I(E)everetteps@everettwa.gov( www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:723 41st PI, <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: ®SFR-DETACHED 0 SFR-ATTACHED 0 PtPPLEX': 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 807 <br /> NUMBER OF DEVICES(If low voltage): <br /> FIRE ALARM? 0 YES I NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 240 Volt/30A to AC unit. New 120 Volt/20A to GFCI. <br /> CONTACT INFORMATION <br /> OWNER NAME:Bill Bannerman TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: CTR ET 723 41st pi p <br /> CRY Everett STATE w 21W98201 <br /> OWNER PHONE: 4253399496 OWNER EMAIL: <br /> CONTRACTOR NAME:AS you wish electric <br /> CONTRACTOR ADDRESS:: . srt:EET825 S Stacy St <br /> crrY Seattle STATE WA zip 98134 <br /> CONTRACTOR PHONE.2067832525 coNTRAcToR•EMAIL: BRENDAK cr A$YOUWISHELE TR}C COM <br /> CONTRACTOR LIC.#(REQJIRED):: ASYOUYW925N :M CITY OF EVERETT BUSINESS.LIC.#(REOUIRED):0.48862' <br /> PRIMARY CONTACT: D OWNER E CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206.:783-252 <br /> Brenda Keller 06/01/2018 CONTACT EMAIL:brenclak@asyouwishelectric.com <br /> AGREEMENT:t hereby certify'that 1 have read end examined this application end know the""-same to be-true and correet. Altprovisions of laws and ordinerices.gpyeming this type <br /> of work will:be completed whether spectfle l herein or not The granting of a permit does not presume jo give authonty to violate or cancel the provisions of'ai yy.other state or <br /> local law regulating construction or the performance of construction. That I amauthorized by the ciwnerof this property to perform the work for which application,is made.and! <br /> comply with the State<Contrectors Law 18.27 RCWand 286.200 WAG <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 1/ <br /> 11.L E 0CO - �o <br /> ttairizeri Agent Signature Date (Revised 9723!2016) <br />