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ELECTRICAL PERMIT APPLICATION
<br /> „Iiirwal, CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT, WA 98201
<br /> (P)425-257-8810 1 FAX 425-257-8857 I (E) everetteps@everettwagov I www.everettwa goy/permits
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<br /> PROJECT ADDRESS: 10208 19th Ave SE Bldg. 3
<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-4 OF UNITS. 0 COMMERCIAL
<br /> USE OF BUILDING: Storage
<br /> CONTRACT PRICE OF WORK:$ 400 '
<br /> NUMBER OF DEVICES (if low voltage):
<br /> FIRE ALARM? YES 66 NO
<br /> ASSOCIATED BUILDING PERMIT 4(if applicable): BW1708-001
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<br /> DESCRIPTION OF WORK: Remove electrical associated with Metal oven and hood fan.
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<br /> OWNER NAME: Silverlake Safe Storage LLC TENANT NAME(If Commercial): Silverlake Safe Storage
<br /> OWNER MAILING ADDRESS: sTREET PO Box 13270
<br /> crry Everett s-ATE WA z p 98206
<br /> OWNER PHONE: 425 610 4567 Joe OWNER EMAIL:
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<br /> 'CONTRACTOR NAME: ANM Electric, Inc.
<br /> •CONTRACTOR ADDRESS: STREET 8810 172nd Ave NE
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<br /> my Redmond STATE WA ZP 98052
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<br /> CONTRACTOR PHONE: 425 861 7195 CONTRACTOR EMAIL: andrew©anmetectric.com
<br /> CONTRACTOR LIC.4(REOUIRED): ANMELI*055LT CITY OF EVERETT BUSINESS LIC./4REQuiRED): 055454
<br /> 'PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) General contractor
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<br /> CONTACT NAME: CONTACT PHONE: 206 853 0212
<br /> E.B. Maintenance & Construction/ Eric CONTACT EMAIL:ebrnaintenance1§grnall.com
<br /> AGREEMENT thereby certify that!have read and examined this application and know the same Sc be true and correct. Ail provisions of laws and ordinances governingthis type
<br /> 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 prowslons of any other statedeand!
<br /> or
<br /> local taw regulating construction or the performance of construction. That lam authorized by the owner of this property to perform the work for which application is ma
<br /> comply with the&ate Contractors Law 1827 RCW and 296.200 WAC.
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<br /> i PERMICitYT:Everett Official Use Only
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<br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016)
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