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ELECTRICAL PERMIT APPLICATION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT,WA 98201
<br /> (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps�everettwa.gov� www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: 1001 Colby Ave
<br /> BUILDING AREA(if residential,new construction,remodei,or additiony 2000 SF
<br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED IZl DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL
<br /> use oF aui��iN�: residential Home
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<br /> CONTRACT PRICE OF WORK:$ 5,000.00
<br /> NUMBER OF DEVICES if low volta e :
<br /> FIRE ALARM? ❑YES ❑NO
<br /> ASSOCIATED BUILDING PERMIT# if a licable :
<br /> �ESCR�P'�tON OF wOttK: Panel chan�e 200Amp and 70Amp service
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<br /> 7�AlIA£:"�t�y'Cof#lges T�Ai0��7� t,em�nerci :
<br /> OWNER MAILING ADDRES3: STREET PO Box 1311
<br /> �„�,. Mukilteo srn,� Wa �P 98275
<br /> OWNER PHONE: OWNER EMAIL:
<br /> CONTRACTOR NAME: WYatt Electric&Construction LLC.
<br /> t�.�'FiAGTQ�R AD�ESS�: s��PC�B�4X 74
<br /> �,�,�. Granite Falls sTn� wa aP 98252
<br /> CONTRACTOR PHONE: 425-870-5485 CONTRACTOR EMAIL: Wyattelectric.office@gmai!
<br /> CONTRACTOR LIC.#(REQUIRED: WYattEC854JL CITY OF EVERETT BUSINESS LIC. REQUIRED):O�4�JZ
<br /> _.... . _...... ..�...__. . _ _._..... _ .. . . . .. .
<br /> PRIMARY CONTACT: ❑OWNER Q1 CONTRACTOR ❑OTHER(Please Specify)
<br /> C�NTACT�IANfE: GOAt�AET�HONE: 425-359-5.979
<br /> . Da1re'1i�fy�'�# �'�`cr��-:�Wyatteiectric�gma�.com
<br /> AGREEMENT.�!he�e6y certiry that/have read and examfned fhis application and know the seme to be due and correct A/l provisiorts of/aws and ord)eances goveming fhls type
<br /> of work will be completed whether spec'rfied herein or not The granting of a permR does not presume to give authority to viotate a cancel the provlsions of any other state or
<br /> local law regulaHng conshuctlon or the performance of consducNon. That 1 am authorized by the owner of thls property to perforrn the work for whlch applfcatlon is made and I
<br /> cromply with the State Contractas Law 18.27 RCW and 296.240 WAC.
<br /> City of Everett O�cial Use Only
<br /> PERMIT#
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<br /> Own utho zed Agent Sign ure Date (Revised 9/23/2016)
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