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425-Z59-2794 4:18 p.m. 05-25-2017 2/2 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMfT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov J www.everettwa.gov/permits <br /> :,�=_. _.__.,: .:: _...�--- ��Q.�ECT SITE [NF��IVIATt+D�._;. .. . - <br /> _.,..�.. _.._.__ _._.. __ _.,... <br /> pRo�Ecr a�oREss: 230'1 Rucker Ave Unit#1 and Basement <br /> BUILDING AREA(if residential,now construction,remodel,or addition) SF <br /> 6UILDING TYPE: ❑5FR-DETACHED ❑ 5FR-ATTACHED ❑ DUPLEX I�MULTI-FAMILY-#OF UNITS: 6 ❑C�MMERCIAL <br /> usE oF eui�otN�: Residential Multi-Family <br /> .�:. .. _._ :. :.;;. _ � .. ._..'' EL�CTRICAL APPLMC�I,T�O�it NNFQRMATION "; ` ' <br /> __.,.._. ... ... . .. .... . ...._.__..._. <br /> CONTRACT PR10E OF WORK: $ 200.00 <br /> NUMBER OF DEVICES if low volta e : <br /> FIRE ALARM? ❑YES �NO <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> DESCRIPT[ON oF WORK: Rewire (1) Switch in Unit#1 and repair splice in basement <br /> , - , . ,. <br /> , : ; ;; CON'�'�ACT iNFdRMATtdhl <br /> ._ . __. ,_. <br /> OWNER NAME: D18flrle LOOp TENANT NAME(If Commerciai): <br /> OWNER MAILING ADDRE55: srneer 2301 Rucker Unit#3 <br /> cirv Everett STATE WA Z�98201 <br /> OWNER PHONE: 425-252-6128 OWNER EMAIL: <br /> CONTRACTOR NAME: Sedhul'St EleCtl'IC <br /> CONTRACTOR AODRESS: smEEr 2915 Chestnut St <br /> �R., Everett srnn WA ziP 98201 <br /> CONTRACTOR PHONE: 425-258-'�8$2 CONTRACTOR EMA1L: �eC@ptIO17�5eaF1UCSt.CORI <br /> coNT�tncTOR uc.#�ReouiRE��: SEAHUE1099QN Cli'Y OF EVERE7T BU5iNE5S LlC,�3(REQUIREO): 18763 <br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) <br /> C�NTACT NAME: KI111 SftlltFl CONTACT PHONE: /�25-258-1SE2 <br /> PM - Ross Prather CONTACT EMAIL: fECePtl011@SeaF1UCSt.com <br /> AGREEMENT.•1 hereby csrti(y thet!have read end eramined lhis applicat/an and know the ssme to be true and correct. Al!provisions af lews and ordinences goveming this type <br /> of work wi!!be camplated whefher spacifiad herein or nol. The granting of a permit does not presume to give euthonry to viola(e or cancul fhe provisinns of any ofher state or <br /> local law ragulatiny construction or the performance uf constn�dion. That 1 am authonzed 6y the owner of fhis proparty to padorm the work(or which application is mede and 1 <br /> comply with the Sta(e Corttracfars Lsw 18.27 RCW and 296.200 WAC. <br /> "��k`�., <br /> Ciry of Eve2tt O�cial Use Onty <br /> _ , PERMIT# <br /> �J�'t / 2(� -- " � E � J il - ; !,, � <br /> � / . , � , ..J , <br /> O er/Authorize A ent Sfgnature Date (Revisod 9/23/Z016J <br />