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i <br /> ELECTRICAL PERMIT APPLICATI4N � ��4g <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98209 <br /> (P}425-257-8810 � FAX 425-257-8857 ((E}everetteps@everettwa.gov� www.everetfwa.gov/permits <br /> ..�--, . ,�. . r�,.. --- . . - . .�_., =:;,.:x - <br /> _ __ , � ., . , i k �.� — <br /> �.�F�'� .*f ?'I.Y •i <br /> PROJECTADDRESS:701 75th St. SE APT#416 <br /> BUILDING AREA(if resldentlal,new constructfon,remodel,ar addition) SF <br /> BUILDING TYPE: ❑SFR-0E7ACHEQ ❑SFR-ATTACHED �DUPLEX ❑MULTI-FAMILY-#OF UNITS: �COMMERCIAL <br /> USE OF BUILDiNG: A artment Buildin <br /> _ _ ..�.. � _,z;'1.�:.�-:i.a.::.- �f.2� �^-. <br /> :� �a �;�:� -r.:�.,�:s�- - _ -- _ —�7 - --- :.��. '+:'tJ..�-:.`?�'c':,'�'$� '�d�;�.iT <br /> .� � ��::�_:. y�.:.... �.�,� ��� :r��N�o-`�rni�o.�r��,.�:s- ���� - -_ <br /> CONTRACT PR10E OF WORK:$ 900.00 <br /> NUMBER OF DEVICES if low volta e : <br /> FIRE ALARM? O YES O NO <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> DESCRIPTION OF WORK: Replace existing pane{with a new 125A ML anel <br /> � - - = CON AC'[''.[NFORMqTI�.� - _ .r�._ <br /> �' -�-���::. _�..--' , . ..�.: �_...�. --.. ,.._u.a<.. ._ — - - - <br /> OWNER NAME:Wiliiams Investments TENANT NAAAE If Commercial : <br /> owNER�vuNo aan�ss: S�19801 50th Ave W <br /> �,,,r Lynnwood STATE YYA �98036 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Rhema Electric <br /> CONTRACTORADDRESS: ��r628 S Spruce St. <br /> ��Burlington �a,�WA aP 98233 <br /> CONTRACTOR PHONE:360-416-8227 CONTRACTOR EMA[L: daveb@rhemaeiectric.com <br /> CONTRACTOR UC.#(REQUIRED): #RHEMAEL940DH cinr oF Eveaerr BusiNess uc.#REQUIRED:45783 <br /> --..__._. . _ ..__.._.__. .._._._ __� .. ._ _ <br /> PRIMARY CONTACT: �OWNER 0 CONTRACTOR O OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 3SQ-630-0164 <br /> Dave Buben coNrncT EnrwL:daveb@rhemaelectric.com <br /> AGREEMENT•J hereby ceRily lhat!have read and examined thJs appfkatlon and know fhe same to be hue artd comect. A!1 provtslor►s oflaws and ordlnances goveming thls type <br /> otwork wtI!be compfeted whether specNled herein or not Tlre gianUng of a pemrill does not presume to give authority to vJolate acancel the provlstorrs of any other state or <br /> loca!law regulaHng consWctian orthe perfamance of constructlon. That/am autltalzed by the owner of tfUs property to perform the work for whlch sppilcafion Is made a►rd! <br /> cemply with Me State Contractors Law!8 27 RCW snd 296 200 WAC. <br /> City of Everett OHlcia!Use Only <br /> PERMIT# <br /> � 36 �� E � 03- ��.� <br /> Own thorized AgeM Signature Date (Revlsed 9/23✓2076) <br />