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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 /> I <br /> °:; � 1 ,can RroF �� _ .. ,.,.�=<.�*. �,�•�.,. a ���� �l���/��.w.. ...��. � r ,--s.z .�.�^� <br /> PROJECT ADDRESS: 921 87th ST SE <br /> BUILDING AREA(if residential,new construction,remodel,or addition <br /> BUILDING TYPE: fa SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: RESIDENTIAL <br /> e a':, ''," EILECR CAINPP w oN '-,,,,,o,,,--,,,:,,,,,,--,,,.., `a €f x , <br /> CONTRACT PRICE OF WORK:$ 7000. <br /> NUMBER OF DEVICES�if low voltage): <br /> FIRE ALARM? ❑YES 0 NO <br /> ASSOCIATEDBUILDING ntimitit(J applicable): <br /> DESCRIPTION OF WORK: 200 AMP PANEL/METER PLUS 5 NEW CIRCUITS <br /> OWNER NAME:SHARON RAMEY TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 921 87TH ST SE <br /> CITY EVERETT STATE WA zip 98208 <br /> OWNER PHONE 206-818-4429 OWNER EMAIL:N/A <br /> • <br /> CONTRACTOR NAME:BLACK LION HVAC <br /> CONTRACTOR ADDRESS:. STREET 11001 118TH PL NE <br /> CIN KIRKLAND <br /> STATE WA ZIP 98033 <br /> CONTRACTOR PHONE:425-814-3944 CONTRACTOR EMAIL Brenda p@blackllonhvac.Corn <br /> -CONTRACTOR LIC'# J R blackiti87 3qt EarirOF EVERETT BUSINESS LIC i [ 053541 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-814-S944 <br /> Brenda CONTACT EMAIL:Brenda@blacklionhvac.com <br /> AGREEMENT:t hereby certify that I have read and examined this application and know the same to be true and correct. Ali 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 t <br /> comply with the State Contractors Law 18.27 RCW and 296,200 WAC,. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 'C El ip,D540 <br /> ntStana'„ Date ( <br /> (Revised 9/23/2018)'. __ <br />