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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 i FAX 425-257-8857 9 (E)everetteps@everettwa.gov i www,everettwa.gov/permits <br /> Plr ojecir SITE IIMFClRMLi'T ON '` <br /> PROJECT ADDRESS: 3006 Everett Ave Everett WA 98201 <br /> BUILDING AREA(if residential,new construction, remodel,or addition) SF <br /> BUILDING TYPE: Q SFR-DETACHED 0 SFR-ATTACHED r7 DUPLEX ❑ MULTI-FAMILY-#OF UNITS: © COMMERCIAL <br /> USE OF BUILDING: Residential <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 1000 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? ❑YES FO NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 100 Amp Panel Change <br /> CONT,A J, i[F©Ii�10N <br /> OWNER NAME:Steven Jensen TENANT NAME(It Commercial): <br /> OWNER MAILING ADDRESS: S,aFF., 3006 Everett Ave <br /> r,n EverettstA, WA z,� 98201 <br /> OWNER PHONE: 425-210-9097 OWNER EMAIL:sj114939@a uw.edu <br /> CONTRACTOR NAME: SeaTown Electric Corp. <br /> CONTRACTOR ADDRESS:I t 031o,r8th AVE NE UNIT#75538 <br /> rr Seattle STATE WA zip 98125 <br /> CONTRACTOR PHONE: 206-905-3690 CONTRACTOR EMAIL: Info@a seatownelectric.corn <br /> CONTRACTOR LIC.#(REQUIRED): SEATOEC86ORB ICITY OF EVERETT BUSINESS LIC.#(REQUIRED):53916 <br /> PRIMARYCONTACT: DOWNER O CONTRACTOR EI OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-905.3690 <br /> Brandon Phillips ICONTACT EMAIL:info seatownelectric.com <br /> AGREEMENT.t hereby certify that t have road and examined this application and know the some to be true and correct. Alt 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 l <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> @lsecaerft%uthonz�ht signature Date (Revised 912312016) <br />