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RECTRICAL PERMIT APPICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITS?!INFORMATION <br /> PROJECT ADDRESS:4827 Glenhaven Dr <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: SSFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $861 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT# if applicable). <br /> DESCRIPTION OF WORK: <br /> OWNER NAME. TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET4827se tGle4nhhaven Dr J� �} q <br /> CITY e v�c.: e-A-i STATE �!�`` ZIP <br /> OWNER PHONE:425-530-6855 OWNER EMAIL:paymond49@gmail.com <br /> CONTRACTOR NAME:Washington Energy Services <br /> CONTRACTOR ADDRESS: STREET 3909 196th St SW <br /> CITY irgJ:.r <br /> STATE t!Ip O <br /> CONTRACTOR PHONE:206-378-6927 CONTRACTOR EMAIL:eonat@washingtonenergy.com <br /> CONTRACTOR LIC,#(REQUIRED): <br /> WASHIES854NG CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 44-13 <br /> PRIMARY CONTACT: ❑OWNER KCONTRACTOR ❑OTHER(Please Specify) ., <br /> CONTACT NAME: CONTACT PHONE:206-378-6927 <br /> Ethan Gnat CONTACT EMAIL:eonat@washingtonenergy.com <br /> AGREEMENT T 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 <br /> type 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 295.200 WAC <br /> City of Everett Official Use Only <br /> FEE <br /> �1-'De, <br /> PERMIT# <br /> ffs;•rl� , <br /> OwnerlZthorized Agent S nal to Date <br />