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0 <br /> RECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwagov I www.everettwa.gov/permits <br /> PROJECT SITE°,#N.. <br /> PROJECT ADDRESS: 2112 McDougall Ave Everett WA 98201 <br /> BUILDING AREA(if residential, new construction,remodel, or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED El SFR-ATTACHED 0 DUPLEX El MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> JUSE OF BUILDING: Residental <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 1100 <br /> NUMBER OF DEVICES if low voltage): <br /> FIRE ALARM? El YES 9 NO <br /> ASSOCIATED BUILDING PERMIT#(it applicable): <br /> DESCRIPTION OF WORK: 20amp dedicated circuit for shed <br /> CONTACT III NOORMATION <br /> OWNER NAME:Terry Henderson TENANT NAME(if Commercial): <br /> OWNER MAILING ADDRESS: ITIE1, 2112 McDougall Ave <br /> ,,,, Everett STATE WA zm 98201 <br /> OWNER PHONE. 4252594565 1OWNER EMAIL:terryrhenderson@comcast.net <br /> CONTRACTOR NAME: SeaTown Electric Corp. <br /> CONTRACTOR ADDRESS: IT1111PO BOX 75538 <br /> CITYSeattle SATE WA .,p 98125 <br /> CONTRACTOR PHONE: 2069053690 1CONTRACTOR EMAIL: i nfoa,seatown electric.corn <br /> CONTRACTOR LIC.#(REQUIRED): SEATOEC86ORB TCITY Or-EVERETT BUSINESS LIC.#(REQUIRED): 53916 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> lCONTACT NAME: CONTACT PHONE: 2069053690 <br /> Brandon Phillips CONTACT EMAIL:infc)@seatownelectric.com <br /> AGREEMENT,I hereby certify that I have read and examined this application and know the same to be true and correct. Ail provisions of lases 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 i <br /> comply with the State Contractors Law 16.27 RCW and 296.200 WAC, <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 110� <br /> O�vner/Authorized Agent Signature Date (Revised 9123/2016) <br />