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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 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> ff ® , `-dame i <br /> PROJECT ADDRESS: 3106 44th Street SE <br /> BUILDING AREA(if residential, new construction, remodel,or addition)residential SF <br /> BUILDING TYPE: 0 SFR-DETACHED SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: O <br /> W,: FOR narrirri-lw:;:::::'.,szRAmmovimipt <br /> CONTRACT PRICE OF WORK:$ 500.00 <br /> NUMBER OF DEVICES (if low voltage): dedicated 20 amp circuit for water feature and lights <br /> FIRE ALARM? 0 YES ®NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: In backyard, provide power for water feature & lights <br /> OWNER NAME: Jan Veling TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 3106 44th Street SE <br /> Everett STATE WA ZAP 98203 <br /> OWNER PHONE: 206-999-4159 OWNER EMAIL:fanVelingl5@gmall.COm <br /> CONTRACTOR NAME: Electrical Installers Inc <br /> CONTRACTOR ADDRESS: STREET 5101 156th Street SW <br /> c,T,, Edmonds STATE WA ZIP 98026 <br /> CONTRACTOR PHONE:425-742-2684 CONTRACTOR EMAIL: karen@electricalinstallersinc.com <br /> CONTRACTOR LIC.#(REQUIRED): ELECTI I031 RK CITY OF EVERETT BUSINESS LIC.#(REQUIRED):48885 <br /> PRIMARY CONTACT: ®OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-742-2684 or cell 206-755-4825 <br /> Karen Hardy CONTACT EMAIL:karen@electricalinstallersinc.com <br /> AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type <br /> of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating 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 /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> Karen Hardy 9/04/18 E V JR -- 0z14 <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />