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� <br />� <br />� • <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 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS: 2711 RAINER AVE, EVERET'I', WA 98201 <br />BUILDING AREA (if residential, new construction, remodel, or addition) SF <br />BUILDING TYPE: ❑ SFR-DETACHED � SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: ❑ COMMERCIAL <br />USE OF BUILDING: RESIDENCE <br />ELECTRICAL APPLICATION INFORMATION <br />CONTRACT PRICE OF WORK: $ 1,000 <br />NUMBER OF DEVICES (if low volta e): <br />FIRE ALARM? ❑ YES � NO <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />DESCRIPTION OF WORK: Repair of electrical service dama ed by the Cit of Everett. <br />CONTACT INFORMATION <br />OWNER NAME: Leah Mitts TENANT NAME (If Commercial): <br />OWNER MAILING ADDRESS: sTReer 2711 RAINER AVE <br />��n EVERETT STATE WA Z,P 98201 <br />OWNER PHONE: 425-319-3841 OWNER EMAIL: <br />coNT�croR NannE: SME INC . OF SEATTLE <br />CONTRACTOR ADDRESS: sTReEr 828 POPLAR PL S <br />c,rr SEATTLE sTnTe WA zia 98144 <br />CONTRACTOR PHONE: 206-788-3/24 CONTRACTOR EMAIL: �EANM��SMI:INCOFSF,ATTLE.COM <br />CONTRACTOR LIC. #(RECIUIRED): SMEINC�066DB CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 030205 <br />PRIMARY CONTACT: ❑ OWNER �l CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: CONTACT PHONE: 206-396-0245 <br />CIARAN BARNES <br />coNTACT ennai�: CIARANB@SMEINCOFSEATTLE.COM <br />AGFZEEMENT. T hereby certify that I have read and examined this app/ication and know the same to be true and correct. All provisions of /aws and ordinances governing this <br />rype of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cance/ the provisions of any other state or <br />local law regulating construction or the performance of construction. That / am authorized by the owner of this property to perform the work for which application is made and I <br />comp/y with the State Contractors Law 18.27 RCW and 296.200 WAC. <br />Agent <br />S ; ti /� <br />Date <br />City of Everett Officia/ Use Only <br />FEE <br />�C�C'`�� <br />PERMIT # <br />E IUc��- ��� <br />(Revised 10/12/2015) <br />