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10I21/2013 03: 15 42577804� E4�JING ELECTRIC � PAGE 01102
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<br /> EL.EGTRICAL PERMIT APPLICATION
<br /> CITY OF �V�R�TT P�RMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT, WA 98201
<br /> (P)425-257-8810 � FAX 425-257-8857 � (�}evereiteps@everetkwa.gov � www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: 4632 FQWIE'�AVe11U@, Everett, WA 98�03
<br /> BUILDING AREA if residential, new construction, remodel,or addition)NA SF
<br /> BUILDING TYPE: ❑SFR�DETACFiED 0 5FR-ATTACHED �DUPLEX � NiULTf-FAMILY-#OF UNETS: NA 0 COMM�f7CIAL,
<br /> usE oF Bu����Nc: Woodhaven Apartment Camplex--Building
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<br /> CONTRACT PRICE OF WORK: $ �5Q
<br /> NUMB�R OF U�VIC�S if low volta e :
<br /> F1RE ALARM7 ❑YES m NO
<br /> ASSOCIqTED 6UILDlNG PER.MIT# if a IicabE�): NA
<br /> D�SCftiP710N OFwoR�c: Building D electrical rQom: Provide and install one (1) duplex receptacle
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<br /> OWNER NAME: TENANT PlAME If Gommercial :
<br /> OWNER MAILING ADDRESS: s,ReeT
<br /> ciTr srare z�P
<br /> OwNER PHONE: OWN�t��MAIL:
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<br /> coNTRqc70R NAM�: Ewing Electric, Inc_
<br /> coNTRAc1'ol�Ad��Ess: sT�EET 539 Main Street
<br /> �,n. Edmonds BTATF WA z�P 98020
<br /> CONTRACTOR PHONE: 426-778-3773 cONTRACTOR�MAIL: esorensen@ewingelectric.com
<br /> coNrR,ocTOR�ic.#�a�ouiRE��: �wingE1533BC CITY OF�VERETT BU5INESS LIC.�t(REQUIRED): 003G4G
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<br /> PRIMARY CONTACT; ❑OWNER �CONTRACTOR ❑OTHER(Pl�ase 5pecify)
<br /> CONTACT�IAME: CONTACT PFf�NE: 425-77H-377�
<br /> Erik Sorensen CONTACT EMAiL:esorensen�ewingelectric_com
<br /> AGREEMENT.�!har�by cartify that!ha�a read and exemined this applicafiorr and know tha same fo 6e fnre end correc� All provls(ons oflews and ardinences goveming this fype
<br /> OJ wOIN lYl!!b0 COlT1plet9tl lvhether speciTied herern or not. The grenting of a parmit does rn�t prasume to give authority to�iolete or cence�the provrsions of any othet sf6tA Or
<br /> locsl 1aw regulaNnq calsYructlon or ti�e performanes of constructron. THat!am autlrorized by the ownar of this property tn perform fhe work fur which applica6an Is rrtade antl I
<br /> compty wi�h the St�te Conf�ctors Law t8.27 FcCW sna'296.20o VY.4C.
<br /> City of Evere»tt Off7claf Use Only
<br /> PERMIT#
<br /> Erik Sorensen 11 .27.2017 � �'1 �. � (
<br /> OwncrfAuthorized Agent Signature Date (Rsvised a/23/2016)
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