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ELECTRICAL PERMIT APPLICATION <br /> __ CITY OF EVERETT PERMIT SERVICES <br /> 320©CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwagov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 1702 62nd ST SE Everett, WA 98203 <br /> BUILDING AREA(if residential,new construction,remodel,or addition)2000 SF <br /> BUILDING TYPE: 0 SFR-DETACHED El SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-It OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Residential <br /> (ELECRIICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ /1000 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES lEVNO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 200 amp service, 2,000 sq ft rewire. <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> crry <br /> STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: RVB Electric <br /> CONTRACTOR ADDRESS: sTREEr2803 Grand AVE <br /> CITY Everett STATE WA ZIP 98201 <br /> CONTRACTOR PHONE: 4259036834 CONTRACTOR EMAIL: OffhCe©Q R(belectric.COr <br /> CONTRACTOR LIC.#(REQUIRED): RVBELVB841 M8 CITY OF EVERETT BUSINESS LIC.#(REQUIRED:055896 <br /> PRIMARY CONTACT: 0 OWNER B CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 4259036834 <br /> Julie Golub CONTACT EMAIL:office@rvbelectric.ocm <br /> AGREEMENT:t hereby certify that t have read and examined this application and know the same to be true and correct. AS provisions of laws and ordinances governing this type <br /> of work wilt 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 t am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State ontractors Law 18.27 RCW and 296.200 WAC. <br /> I <br /> II <br /> . \\I , <br /> City of Everett Official Use Only <br /> PERMIT# <br /> Ci-4 E lgOe-R -bs9 <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />