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#1111Ps4Z/V—"--4 <br /> 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 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2900 Grand Ave Everett, WA 98201 <br /> BUILDING AREA(if residential, new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ® MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Apartment Building - Grand Avenue Apartments <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 700 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? © YES 0 NO ; t-,-*'" a-1~ f 7 e. A ji - — tr F7�r y to. /e4c" " <br /> ASSOCIATED BUILDING PERMIT#(if applicable): 1 7 <br /> DESCRIPTION OF WORK: Wiring for AES Radio. `� <br /> CONTACT INFORMATION <br /> OWNER NAME:EB5 Group TENANT NAME (If Commercial): <br /> OWNER MAILING ADDRESS: STREET 2900 Grand Ave <br /> CITY Everett STATE WA Z,R 98201 <br /> OWNER PHONE: 425-789-1920 OWNER EMAIL: <br /> CONTRACTOR NAME: Rhema Electric <br /> CONTRACTOR ADDRESS: STREET628 S Spruce St. <br /> c,, Burlington STATE WA98233 <br /> CONTRACTOR PHONE: 360-416-8227 CONTRACTOR EMAIL: ronl©rhemaelectric.com <br /> CONTRACTOR LIC.#(REQUIRED): RHEMAEL940DH CITY OF EVERETT BUSINESS LIC.#(REQUIRED):45783 <br /> PRIMARY CONTACT: ❑ OWNER B CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 360-630-6280 <br /> Ron Lake CONTACT EMAIL:ronl©rhemaelectric.com <br /> AGREEMENT*f hereby certify that t 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 t am authorized by the owner of this property to perform the work for which application is made and 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 /> (111/71ijk /07/S-7/ , E <br /> Obrrfiier/Authorized Ag,i Signature Date (Revised 9/23/2016) <br />