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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 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> .77;i ilki"rqi"7 :..7111111111111111101.1184,1% , <br /> PROJECT ADDRESS: 8823 Holly Dr#Z-539, Everett, WA 98208 <br /> BUILDING AREA(if residential, new construction, remodel,or addition)1,160 SF <br /> BUILDING TYPE: 0 SFR-DETACHED Z1 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Residential <br /> �4,Nx..\, ,: �S'.ii :��aa,. \\\�\�•:.� s„, ,,., ii\ .\ � �� <br /> ,.\.K�.. •' <br /> CONTRACT PRICE OF WORK:$ 250 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 127 YES ❑NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <gYVnOILL'_ (.etee.IO,,,�r S <br /> DESCRIPTION OF WORK: Replaced: 25 Outlets, 10 Lights, 15 Light Switches, and 3 ' kauiviai <br /> vuP ►1 -�1 . <br /> ., ` �� \� 0Agi \zA :'.. aI „,'w�1 ►l1 <br /> OWNER NAME: Tyler Battrick TENANT NAME(If Commercial): N/A <br /> OWNER MAILING ADDRESS: STREET 13405 NE 184th PI <br /> CITY Woodinville STATE WA ZIP 98072 <br /> OWNER PHONE: 425-412-0926 (OWNER EMAIL: TJBattrick28@gmail.com <br /> CONTRACTOR NAME: N/A- Owner <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: !CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED) CITY OF EVERETT BUSINESS LIC #(REQUIRED) <br /> PRIMARY CONTACT: Ga OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-412-0926 <br /> Tyler Battrick CONTACT EMAIL:TJBattrick28@gmail.com <br /> AGREEMENT'I hereby certify that l 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 I am 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 /> PER�MIITi# <br /> 7;012, G2rc, 05/10/18 E V,/ lO3 -OO <br /> Date (Revised <br /> Owner/Authorized Agent Signature 9/23/2016) �- <br />