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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 />PROJECT'SITE INFORMATION <br />PROJECT ADDRESS: 9911 23rd Ave SE, Everett, WA 98208 AkA MPj- I O " S i . s t✓ <br />BUILDING AREA (if res]dential, new construction, remodel, or additlon) SF <br />BUILDING TYPE: 11 SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI -FAMILY -# OF UNITS: 0 COMMERCIAL <br />USE OF BUILDING: Reservoir and booster station <br />u ■..a.%i <br />CONTRACT PRICE OF WORK: $ 400 <br />NUMBER OF DEVICES (if low voltage): <br />FIRE ALARM? ❑ YES 0 NO <br />ASSOCIATED BUILDING PERMIT # if applicable); <br />DESCRIPTION OF WORK: Temporary power pole and service for booster station and reservoir <br />improvement DroieCt <br />CONTACT INFORMATION <br />OWNER NAME: Silver Lake Water and Sewer District TENANT NAME (If Commercial)*. (owner) <br />OWNER MAILING ADDRESS: sTRz_ET 15205 41 st Avenue SE <br />,,T.r Bothell STATE WA ZIP 98012 <br />OWNER PHONE: 425-337-3647 <br />OWNER EMAIL: cbrees@slwsd.com <br />CONTRACTOR NAME: Razz Construction <br />CONTRACTOR ADDRESS: STREET4055 Hammer Drive <br />�m Bellingham STATE WA z,P 98226 <br />CONTRACTOR PHONE: 360 752 0011 x 103 <br />1CONTRACTOR EMAIL: bena@razzconstruction.com <br />CONTRACTOR LIC. #(REQUIRED): RAZZCC1955KU <br />ICITY OF EVERETT BUSINESS LIC. #(REQUIRED): 045221 <br />PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Ben Ashworth <br />CONTACT PHONE: 360 752 0011 x103 <br />CONTACT EMAIL: bena@razzconstruGtion.com <br />AGREEMENT: I hereby certify that 1 have read and examined this application and know the same to be true and correct All provisions oflays 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 1 am authorized by the owner of this property to perform the work for whkh application is made and l <br />comply with the State Contractors Law 16.27 RC W and 296.200 WAC. <br />City of Everett Official Use Only <br />PERMIT # <br />El'I11-2�'1 <br />(Revised 912312018) <br />