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//14P,srm.., -.-.4 LLECTRICAL PERMIT APPLICATION <br /> Iw►' -, S <br /> 320CITY€3 CEDAR <br /> ©F EVERETT STREET, EVERETTPERMIT , WERVICES2A 98131 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> 7''''1'., z miI iTeliiFomil o!! Baa <br /> PROJECT ADDRESS: 1205 Rucker Ave <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: E SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Single Family Residential <br /> , <br /> y ELECTRIfi AL APPLICAT1 ;N 1NFC3R.MATION ,: <br /> z � f <br /> CONTRACT PRICE OF WORK:$350.00 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES IN NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Convert circuit for existing 220 water heater to 110 outlet for tankless water heater. <br /> 1 <br /> 03 4tAdi"`;ittoo IrAT1oN <br /> Jean Sullivan <br /> OWNER NAME: TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1205 Rucker Ave <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 425-398-8889 OWNER EMAIL: <br /> CONTRACTOR NAME: Cisco Electric, Inc <br /> CONTRACTOR ADDRESS: sTREET22612 92nd Ave W <br /> CITY Edmonds STATE WA 2,P 98020 <br /> CONTRACTOR PHONE: 360-618-3038 CONTRACTOR EMAIL: maria@ciscoelectric.com <br /> CONTRACTOR LIC.#(REQUIRED): CISCOEI914DE CITY OF EVERETT BUSINESS LIC.#(REQUIRED):042432 <br /> PRIMARY CONTACT: 0 OWNER @ CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 360-618-3038 <br /> Maria Nicodemus/Cisco CONTACT EMAIL:maria @ ciscoelectric,com <br /> AGREEMENT:!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 tam 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# a <br /> 90-(2.4 <br /> Owner/Authorized Agent Signature Date (Revised 9/232016) <br />