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To: Page 2 of 2 2017-09-22 18:52:58(GMT) From: Tyson O'Neill <br /> • <br /> ELECTRICAL PERIVIIT APPLICATION <br /> 'ie ' 77r CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, E.VERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.goviperrnits <br /> PROJECT ADDRESS: 7107 Evergreen Way <br /> BUILDING AREA(if residential,new construction, remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITSL El COMMERCIAL <br /> USE OF BUILDING: <br /> Ekl~C "II cAL LI ATioN ATION' <br /> CONTRACT PRICE OF WORK:S 6,900.00 <br /> NUMBER OF DEVICES (if low voltage): _ <br /> FIRE ALARM? D YES Et NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> •DESCRIPTION OF WORK: Take down and re-install(24)8'4-lamp fixtures. Remove approximately 60' MC <br /> Remove cable and safe off East wall and re-install mc that had been taken down. <br /> 0.4. INFORMATION <br /> OWNER NAME: Koby Wexler TENANT NAME(If Commercial): Co-,5 h A dth44-1'-c-�° <br /> OWNER MAILING ADDRESS: smear 11.01 Avenue D,Suite D-201 <br /> cir Snohomish sr&Ts WA zip 98290 <br /> OWNER PHONE: 206-334-0519 OWNER EMAIL: <br /> CONTRACTOR NAME: Bayview Electric <br /> CONTRACTOR ADDRESS: smmeer .1.1777 Watertank.Rd.Suite A. <br /> ore Burlington STATE WA zip 98233 <br /> CONTRACTOR PHONE: 360-707-0535 CONTRACTOR EMAIL: jenniferd@bvelectric.net <br /> CONTRACTOR LIC.#(REQUIREDj: CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 054268 <br /> _ $AYtiTtl+lu954:1�11�: <br /> PRIMARY CONTACT: 0 OWNER lg CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 360-707-0535 <br /> Aarika Walker CONTACT EMAIL: aarikmv@bvelectric.net <br /> AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correct_ Att provisions oflaws 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 orf/x,performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and t <br /> comply with the State Contractors Law 18.27 RCW and 295.200 WAC <br /> City of Everett Official Use Only <br /> FEE <br /> r f PERMIT#i <br /> . to 7.ort E I i oct' 101,1) <br /> Own' A thori ed Agent Signature Da:e (Revised 10/12/2015) <br />