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ECTRICAL PERMIT AF _ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 00!L 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: 2930 Hoyt Avenue, Everett, WA 98201 <br /> BUILDING AREA(if residential, new construction, remodel, or addition)Residential SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL <br /> USE OF BUILDING: Rental <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 5 C1 <br /> NUMBER OF DEVICES if low voltage): <br /> FIRE ALARM? ❑YES 0 NO <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: We need a stove outlet inspected before PUD will unlock it. We had a range <br /> fire that did not touch the walls, or anything else but the range, but we still need the outlet inspected <br /> before they will allow us to use it. <br /> 1E <br /> CONTACT INFORMATION <br /> OWNER NAME:Washington Home Of Your Own TENANT NAME(If Commercial):Vacant <br /> OWNER MAILING ADDRESS: STREET 2506 Melvin Avenue Attn: Office <br /> 0TY Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 425-374-7675 OWNER EMAIL:WAHOYO@Coastmgt.Com <br /> CONTRACTOR NAME: nu ) Nre-z <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: ❑ OWNER ❑ CONTRACTOR 0 OTHER(Please Specify) Prosy Manager <br /> CONTACT NAME: CONTACT PHONE: 425-374-7675 / 425-345-6174 <br /> Josh Ruuth CONTACT EMAIL:Wahoyo@coastmgt.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/ <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> !3 /22 17 E Igo-E - C� <br /> Owner/ thorized Agent Signature Date (Revised 9/23/2016) <br />