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� � <br /> ELECTR�CAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320Q C�LAR STREET, EVERETI', WA 98201 <br /> {P}425-�57-889 Q � FAX 42�-257-�857 � {E}eueretteps�everettwa.�ov� www.e�er�ttwa,�ov��ermits <br /> ��� , �t�� �����' ��� ' � <br /> . , � <br /> . � _ �� �.. _ ._ m�. _,_ ���� �� ����� <br /> � �: », _; <br /> PROJECT ADDRESS:�53� CaQIIe e Ave <br /> BUILDING AREA(if�esirlenfiei, new construction,remodel,or addition S <br /> BUILdING TYPE: C�7 5FR-DETACHED �SFR-ATTACHED 0 0 PLEX ❑ MULTI-FA Y-�#OF UNITS: ❑ COMMERCIAI <br /> USE flF BUlLDIN�: R�SIC��C1�8� --_�_—.--. � <br /> � `: c � ��� � <br /> � ����� ... ' �, '������I��'��l�` ���' ��,�.� <br /> y.., <br /> . ... �.. <br /> ; �� <br /> CONTRACT PR�CE OF WORK: $ 8700 <br /> NUMBEF2 OF DEVtCEB if low volta e : <br /> FlRE AIARM? 0 YES �NO <br /> ASSOCIA7ED BUILDING PERMI7# if a licabie : <br /> DESCRIPTION OF WC}RK: 2�Oamp panei and Retrrira Kitchen bathroom hallways bedroams living and dining rooms basemeni exterior and circuiks <br /> 5flamp range circuit 30amp dryer circuit 2(lamp washer circuit 20amp bat}�room circuif 2-20amp kitchen circuits <br /> Oamp car charger circ�it <br /> cc�Nz�+�r rw�o�aT�or� <br /> OWNER NAME:�E'S �t'ISCO@ TENANT NAME(if Comrnercial): <br /> OWNER MAILING ADDRE5S: SfaE�T 4839 Cofiege Ave <br /> f,r Everett S7ATE xwA �,p 982p3 <br /> OWNER FHC)NE: 4Z�J-��I H-4�rJ7 OWNER EMAIL:WE.'5��2 p�C�l'1't�ll.COtTt <br /> CQNTRACTOR NAME; S'l.'BTOWt1 EIBCtI'1C COCj?. <br /> CONTRACTOR ADDRESS: srnEea PO BOX 75538 <br /> �,r Seattle STATE WA Z,� 98125 <br /> CqNTRACTOR PHONE: 206-905-3690 CONTRAC7pT2 EMAI�: 1C1�0 Q�S�a�OWC1eI@C�!'IC.COt71 <br /> C�NTRACTOR UC.#(REt1UtRED): SEATOECSE'?ORB CITY OF EYERETT BUSINESS UC.#{REQUIRED):����6 <br /> �_ ...... �,,... _.. .,. .. <br /> PREMARY CONTAGT: ❑C3WNER 0 CONTFZqCT4R ❑07HER(Please Specify} <br /> CONTACT NAMAE: GCli'WlTAGT PHdNE: �OE�1-��T�J=�E"7$O <br /> Bt'aC�dot� Phi{I�pS ca�r�rAc���n,�s.:infc�c�i�ea�c�w�e(ectric.cc�rn <br /> AfaREEMENT:!herebp cerlify lhaf I haue read and examined thrs appticafion�nd k»ow the same tv be true€�nd correct. Atf provisions of laws and oMinances govemrng this type <br /> of work wift be compl�ted whethe�specired her�in or not. The granting rtf a permiC dAes npt p�surrae to giva authoritq�to viplate ar cance/the provisions o1 any other state or <br /> loca!!aw regu/ating construc(ron�xr ths performance o(construction. 7hat 1 am authonaed by the owner of ihis propeRy to peAorm the worh for which appfraaU'on rs made and! <br /> comply with the State Contratiors Law 18.27 RCW and 196.200 WAC. <br /> City of�verett Offfcial Use Onty <br /> PERMIT# <br /> � .��11 - E ��-1 � �--- O�--f g <br /> � <br /> Owner uthorized A Signature p e {Revised 9/23/20t6} <br />