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437,3(19 <br /> 4reErr 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 /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 701 75th St SE APT#212 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: ©SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Apartment Building <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ $900.00 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES CI NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Replace old panel with a new 125A ML panel <br /> CONTACT INFORMATION <br /> OWNER NAME:Williams Investment TENANT NAME(If Commercial): empty unit <br /> OWNER MAILING ADDRESS: STREET 19801 50th Ave W <br /> cm, Lynnwood STATE wa vs 98036 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Rhema Electric <br /> CONTRACTOR ADDRESS: STREET 628 Spruce St. <br /> Burlington STATE WA i z�� 98233 <br /> CONTRACTOR PHONE: 360416-8227 CONTRACTOR EMAIL: daveb@rhemaeleCtric.com <br /> CONTRACTOR LIC.#(REQUIRED): #RHEMAEL94ODH CITY OF EVERETT BUSINESS LIC.#(REQUIRED):45783 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 360-630-0164 <br /> Dave Buben CONTACT EMAIL:daveb@rhemaelectrio.Com <br /> AGREEMENT:t hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisi rns 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 t am 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 296.200 WAC <br /> F City ofEvorett OfficialU se Only <br /> . .,... ) PERMIT# <br /> I 11 <br /> )t V <br /> / (Revised 9/2312016) <br /> Ownel^FRGthorizod Agent Signature Date <br />