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May 081810:15a Hertz Electric 299694 p.1 <br /> ELECTRICAL PERMIT APPLICATION <br /> . 1OLT <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@everettwagov I wvwv.everettwagov/permits <br /> • PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 7404 Evergreen Way Suite A <br /> BUILDING AREA(if residential.new construction, remodel,or addition) 1000 SF <br /> BUILDING TYPE: ❑ SFR-DETACHED El SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: Ea COMMERCIAL <br /> USE OF BUILDING: Office <br /> Adt RICAL APPLICATION INFORMATION . <br /> CONTRACT PRICE OF WOR :$ 600 <br /> NUMBER OF DEVICES(if Io volts._ . 4 <br /> FIRE ALARM? I YES 0 NO A <br /> ASSOCIATED BUILDING FERMIT#.(if applicable): 81801-028 <br /> DESCRIPTION OF WORK: install 4 smoke detectors <br /> • <br /> 'CONTACT INFORMATION <br /> OWNER NAME: OISell Family Group TENANT NAME If Commercial : <br /> OWNER MAILING ADDRESS: :Jr= <br /> Cary STATg zip <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Hertz Electric <br /> CONTRACTOR ADDRESS: STRCET 757 116th ST S <br /> cm, Tacoma STATE WA zio 9844 <br /> CONTRACTOR PHONE: 253-531-0200 CONTRACTOR EMAIL: rondavis_1@msn.com <br /> CONTRACTOR LIC.#(REOUI H1=D): HERTZE*903K1 CITY OF EVERETT BUSINESS LIC.#(REQUI-ED): 54381 <br /> PRIMARY CONTACT: ID OWNER QI CONTRACTOR El OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253-405-2587 <br /> Ron Davis CONTACT EMAIL:rOndavisI @msn.com <br /> AG cEF_Ail NT'thereby certify that 1 have read and examined this application and know the same to be true and Correct. All previsions 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 presurne to give authority to violate Or Cancel MC proviSiOnS Or any Othor State or' <br /> local law regulating construction or the performance of construction. That 1 am authorized by the owner of this property to porform the work for which application is made unit I <br /> comply with the Stale Contractors Law 18.27 RCW and 296.200 WAC. <br /> City Of Everett Official Use Only <br /> PERMIT# <br /> rB� E \%,05 - C ( <br /> OwnerlAuthorized Agent Signature Date {Revised 9/232016) <br />