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� � <br /> ELECTRICAL PERMIT APPLICATION <br /> n CITY OF EVERETT PERMIT SERVICES <br /> _ _ ._ �..i �7��rs �•_• -��• ;��'K- c�i���7' L";�h, ',-��? <br /> ;: . . -, T r� <br /> (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everettwa.gov � www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PRo�ECT AooREss: 1332 East Marine View Drive <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: D@t8CF1GCI Ga�a @ <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 2,050.00 <br /> NUMBER OF DEVICES if low volta e : <br /> FIRE ALARM? ❑YES 0 NO <br /> ASSOCIATED BUILDING PERMIT# if applicable : <br /> �EscRiPTioN oF woRK: Install (2) 20a branch circuits to new detached garage for instalaltion of basic <br /> lights and outlets to meet mimimum code. <br /> CONTACT INFORMATION <br /> OWNER NAME:PF11IIp KIf71Se� TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: srnEer 1332 East Marine View Drive <br /> �,n Everett STATE VV� Z�P 98201 <br /> OWNER PHONE: '4ZrJ-G�O-OZ�J4 OWNER EMAIL: <br /> CONTRACTOR NAME: Tflfllty EI@CtfIC, LLC <br /> CONTRACTOR ADDRESS: snzeEr 15410 91 st Avenue SEe <br /> �R.,Snohomish STATE WA Z,P 98296 <br /> CONTRACTOR PHONE: 36O-G6H-rJOOO CONTRACTOR EMAIL:Jeff@trlllltyelG'CtrICIIC.IIet <br /> coNrw�cTOR�ic.#�REQu�REo�: TRINIEL911 RJ CITY OF EVERETT BUSINESS LIC.#(REQUIRED):O49Z�J�J <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 2�6-953-2367 <br /> Jeff Whe�Ze� CONTACT EMAIL:�eff@t�lfll�/8I@CtfICIIC.fI@t <br /> AGREEMENT:I hereby certify that I have read and examined this application and know the same to be frue and conect. All provisions of laws and ordinances goveming fhis fype <br /> of work will 6e completed whether specified herern or not. The granting of a permit does nof presume to give authority to violate or cancel the provisions of any other stafe or <br /> local law regulating construction or the performance of construction. That I am authorized 6y the owner oi this property to perform the work for whrch application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett O�cial Use Only <br /> PERMIT# <br /> � � ti3 ,-, E �� o�- � � <br /> Owne A ho zed Age S nature Date (Revised 9/23/2016) <br />