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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320J CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> 3 -au - �5 <br /> E 150�3 -139 <br /> 2006 23rd St Everett, WA 98201 <br /> PROJECT ADDRESS <br /> HUD Owned 16845 Von Karmen Ave Suite: 100 Irvine CA. 92606 949-261-9155 <br /> Owner Mail Address City Stale/Zip Phone <br /> TenOnt Mail Adtlress City Sta�e2ip Phonc <br /> Owner __ _ <br /> EleCincal Con�rat�or M,il Address Gly SIaleQip � ,cne <br /> Slate License Number(requved) Cily of Everet!Business Ucense Number(reqwred) <br /> Residential <br /> Proposed Use of Building Contracl Price ol Work <br /> Brian Meaden (360)722-1517 <br /> brianmeaden@gmail.com <br /> Syuare Fomage p(residenlial new construchon, remodel or addition) Contact PersoNContact NumbedEmaJ <br /> Numbcr of devices(If low volta9e) <br /> Descnption of Work lo �e Done: We necd to have an elr.cirical inspection lor "sr.rvice approval"so thal PUD can connect power b Ihe h use. <br /> The house has had power lo it in e pas, u e wue was cu is pas summer ue o a ue nez oor an never oa e ac up. e Iso <br /> want to make sure ihat Iha currenl wire lowtion is not�oo close to the deck. Richard Irom Fverett PUD in thr. electiical Enqinenng depa ent <br /> can be reached al 425JBJ�tl453 <br /> Our Realtor Julia Phillip can be reached at 262-960-1998 il need be. <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 --75 0� <br /> 1 heroby cerlily fhal 1 have�ead and examined Ihis applicafion and know the same(o be lrue anU <br /> conecf. All provrsions oll�ws and o�dinances goveming llris lype o!work wrll Ge wmplefed <br /> whefher specdied herem oi noL The gr.nhng o/a pmmit daes nof p�esume!o givc auUiority fo PFRMIT# <br /> violale or cancel(he p�ovlsions oI any ofher sla(e or local law�egulahng consVucfion o�the E I 5�3 I��+, <br /> peAonnance o!conslruc(ion. That I am aufhorized by Ihe owner o!this property fo pedorm Ihe `�+ <br /> work lo�which applica6on is made and I comply wifh Ihe Slale Confractors Law iB.27 RCW and <br /> 296.200 WAC. <br /> �2G(',�JL l%L�(�.CL4.lL 3112/2015 <br /> SiynaWrc Datc <br /> �+r.varo nnnr✓row <br />