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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 � FAX 425-257-8857 � (E)everetteps@everettwa.gov� www.everettwa.gov/permits
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<br /> PROJECTADDRESS: 2 WeSt CaSltlO ROaCI, Unit G167 and building G
<br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF
<br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX �MULTI-FAMILY-#OF UNITS: �8 ❑COMMERCIAL
<br /> use oF Bui�oiNc: Multi- Family residential
<br /> ,����, ����� ;;EL`�ECTRICAL APPLt+CAT�O���NFQRMA"���1l�3 �a xxz��,,�,� * k�����A..;
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<br /> CONTRACT PRICE OF WORK:$ 6000
<br /> NUMBER OF DEVICES if low volta e :
<br /> FIRE ALARM? ❑YES �NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable :
<br /> DESCRIPTION OF WORK: Rep�aCe a 600-a171p Il1aIC1 CICCUIt bl'eak@I'
<br /> Replace internal meter bussing for meter�ywith same manufacture5 components
<br /> � ��� ��"$.���� � �' `% � � `; CONTACT�INFORIVIATIO,N ��� � � �� ��
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<br /> owNeR Nanne: B�uffs at Everegreen TENANT NAME(If Commercial):
<br /> OWNER MAILING ADDRESS: s-rReEr 2 West Casino Road
<br /> �,T,, Everett STATE WA ziP 98204
<br /> owNeR PHONe: 425-353-4950 owNER ennai�:thebluffsmgr@cascade-management.com
<br /> coNTRacTOR Nanne: Innovative Electric. Inc.
<br /> CONTRACTOR ADDRESS: s-rrzeer P.�. BOX 4399
<br /> �„„ Everett STATE WA Z,P 98204
<br /> CONTRACTOR PHONE: CONTRACTOR EMAIL:
<br /> coNTwacroR uc.#�REQuiRE�>: INNOVE1055KE CITY OF EVERETT BUSINESS LIC.#(REC2UIRED): 368Z$
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<br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR �OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE: 4.2rj-Z9O-7803
<br /> GUC1C18C'P@tZOICr CONTACT EMAIL: gUtlllal'C�( IIIIIOVatfV@-@I2Ct1'IC.COtII
<br /> AGREEMENT.•I hereby certify that I have read and examined fhls application and know the same to be true and correct All provisions of laws and ordinances governing fhis 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 construcfion. That I am authorized by the owner of this property to perform the work for which application is made and l
<br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC.
<br /> City of Everett Official Use Only
<br /> �„� PERMIT#
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<br /> ,� �� - � E 1 0� I � I
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<br /> Owner/Authorized Agent Signatur r Date ` (Revised 9/23/2096)
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