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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 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 1407 49th PL SW Everett WA, 98203 <br /> BUILDING AREA(if residential,new construction,remodel,or addition)2480 SF <br /> BUILDING TYPE: la SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL <br /> USE OF BUILDING: Single Family Residence <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ $200 - $350 (materials) <br /> NUMBER OF DEVICES if low voltage): 2 - 3 small wall heaters <br /> FIRE ALARM? ❑YES RI NO <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: Installation of Wall heaters in downstairs Of home. <br /> CONTACT INFORMATION <br /> OWNER NAME:Romaine Williams TENANT NAME If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1407 49th PL SW <br /> ,,T., Everett STATE WA Z,P 98203 <br /> OWNER PHONE: 971-340-7482 owNER EMAIL:romaine06@hotmaii.com <br /> CONTRACTOR NAME: 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: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 971-340-7482 <br /> Romaine Williams CONTACT EMAIL:romaine06@hotmail.com <br /> AGREEMENT:I hereby certify that I 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 16.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> -' PERMIT# <br /> 02/24/17 En 15(� <br /> OwtsmMutfforizod Agent Signature Date (Revised 9/23/2016) <br />