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ELECTRICAL PERMIT APPLICATION <br /> "Lrr CITY OF EVERETT PERMIT SERVICE <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)426-267-881 FAX 425-257-8857 1 (E)everetteps@everettwa.gov www- ver tt a,govl r its <br /> PN INFIEnmos <br /> . . <br /> PROJECT ADDRESS. 7432 McDougall Ave, Everett, Wa 98203 <br /> BUILDING AREA(if residential, new construction,remodel_,or addition)936 SF <br /> BUILDING TYPE: 0 SFR-DETACHED E7 SFR-ATTACHED 13 DUPLEX 0 MULTI-FAMILY-#OF UNITS; Cl COMMERCIAL <br /> USE OF BUILDING: Home <br /> ELECTRICAL APPUCATION INFORMATION <br /> CONTRACT PRICE OF WORK/$ 1200 <br /> NUMBER OF DEVICES if Io w volts e <br /> FIRE ALARM? 0 YES O <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK- Replace existing bath fan with new <br /> 5 <br /> C IIS"FORMATION <br /> OWNER NAME: Jannette Liu TENANT DAME If Commercial): <br /> OWNER MAILING ADDRESS: STREET Same <br /> CE' ,TATE Zip <br /> OWNER PHONE: 425-7861--4096 C?WNER EMAIL: <br /> CONTRACTOR NAME: Arroyo Insulation Inc <br /> CONTRACTOR ADDRESS: STREET PO BOX 1233 <br /> ,TyMount Vernon sTA,,e WA ZIP 9UO3 <br /> CONTRACTOR PHONE: 206-682-9276 CONTRACTOR EMAIL: ervice@arrowCOnservation.CLQ <br /> CONTRACTOR LIC #(REQUIRED): ARROUl1118 M 1 ICITY OF EVERETT BUSINESS LIC.#(REQU146, o52485 <br /> PRIMARY CONTACT: C3 OWNER O CONTRACTOR CI OTHER(Please Specify) <br /> CONTACT NAME. CONTACT PHONE: 425-686-0002 <br /> Logan Frederickson CONTACT EMAIL: Ifrederickson(3a arrOtl conservation.0")M <br /> AGREEMENT:1 hereby cerfify that d have rear?and exaMirred this application and know the same to be true and corract. All provisions of fays and orc,wances governing this type <br /> of work will to completed whether specified herein or not, The granting of a permit does not presume to give authority to violate or cancel the provisio,,s 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 a iplicatiori is made and 1 <br /> comply with the Mate Contractors Law 18.27 RCW and 255.200 WAC. <br /> f' <br /> City of Everett Official Use Only <br /> PERMIT# <br /> E PtO S <br /> wnerlsi Date <br /> (Revised 9123/2016) <br /> r'' <br />