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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 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:4220 Terrace Dr <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL <br /> USE OF BUILDING:Single Famil <br /> i <br /> ELE TRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $630 <br /> NUMBER OF DEVICES if low voltage):/ <br /> FIRE ALARM? ❑YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: <br /> CONTACT INFORMATION <br /> OWNER NAME: Robert Steele TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET4220 Terrace Dr <br /> c,Ty Everett STATE WA Z,P 98203 <br /> OWNER PHONE:206-886-9035 OWNER EMAIL: <br /> CONTRACTOR NAME:Washington Energy Services <br /> CONTRACTOR ADDRESS: STREET 3909 196th St SW <br /> QTY Lynnwood STATE WA Z,P 98036 <br /> CONTRACTOR PHONE:206-378-6648 CONTRACTOR EMAIL:vstephenson@washingtonenergy.com <br /> CONTRACTOR LIC.#(REQUIRED):WASH IES854NG CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 054773 <br /> PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-378-6648 <br /> Vanessa Stephenson CONTACT EMAIL:vstephenson@washingtonenergy.com <br /> AGREEMENT Thereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this <br /> type 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/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 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> -�'S <br /> PERMIT# <br /> Vanessa Stephenson oa,1'zo;°oaby21 saws_-p—OTOD 09/21!17 <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />