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0 0 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 l FAX 425-257-8857 J (E)everetteps@everettwa.gov www.everettwa.gov/permits <br /> PRQJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2927 Colby Ave <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-4 OF UNITS: ® COMMERCIAL <br /> EUSEF BUILDING: <br /> j-VCECTRIC L APPLICIRMATION <br /> CONTRACT PRICE OF WORT K: $ $1,250.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: Disconnect existing Rooftop Unit and Connect New Installed Rooftop Unit. <br /> CONTACT INFORMATION <br /> OWNER NAME:Brian McCaulay TENANT NA11itiE(N Cornrnerciai): <br /> OWNER MAILING ADDRESS: STRE,2927 Colby Ave <br /> c,7y Everett STATE v�a ZIP 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME; Wyatt Electric & Construction, LLC. <br /> CONTRACTOR ADDRESS: STaEET 204 E. Stanley St <br /> �nY Granite Falls STATE Wa. z,P 98252 <br /> CONTRACTOR PHONE: 4255-870-5485 CONTRACTOR.EMAIL: WyatteleCtriC.Office@grnail.COM r <br /> CONTRACTOR LIC.#(REQUIRED): WyattEC854JL ICITY OF EVERETT BUSINESS LIC.#(REQUI D):054452 <br /> PRIMARY CONTACT: ®OWNER ®CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 4255-870-5485 <br /> Favid Wyatt CONTACT EMAIL:Wyattelectr c.OffIce@grrlail.,co l <br /> AGREEMENT.I hereby certify that t have read and examined this application and know the same to be true and correct. All provisions of taws 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 RCN✓and 296.206 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> caner/Authorized A ent SigrWture N Date (Revised 9723/2016) <br />