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NOV/01/2017/WED 08: 49 AM Gree� �d Heating FAX No, 206 46 -?16 P, 001/001 <br /> ELECTl�lC,�4,�. �'�R11�IIT APPLIGATION <br /> ,j ,� .�.��. CI'CY 0� EV�RETT PERMIT SERVlCE� <br /> '4 3200 CEDAR S`�REET, EVEF�E'�7, WA 98201 <br /> (P) ��2.5-257-0�90 1 KAX 425-257-8857 � (E) everetteps c�ovgrettwa_gov � www_everettwa.gov/permits <br /> , ..... - <br /> ` ( „PSZOJ�CT �ITE INFORWIATION ` : <br /> ,.. . . . . : .... ..., <br /> . <br /> PROJ�CT�DI�RG55: 64� OVIo"lllCSl��/ �al-!0 <br /> BiJiLDING AFt�A(if residantial, new construotion,remodel,or addition) SF <br /> BUILDING T1°P�: P�SFR-D�TACH�D CI SFR-ATTACHEp ❑ DUP�EX C� MUI.TI-FAMI�Y-#0�UN17S; ❑ COMMERCIAL <br /> U8E OF BUILDWG; <br /> _. , <br /> ' (,a �I:ECTRO�AL':AP�LI�ATION`INF�RNIATIDN =... <br /> coH-rR�,�� ��iC� o�vy���: g�1500.00 <br /> NUMHER OF DI�VBCES (if low vol��)e): ��� <br /> FdRE A�A�fV11? Q Y�� � P NQ,.�' <br /> A530CIATEI� I�UILDING P�RYV71T# if applioable : <br /> nEscRipri�w ��wo�K: 4• 20a/120v circ�its for �1 oultefis and 4 lights <br /> ` CONTACT l�IFORMA'�'ION <br /> ,.... , . ,. .. .,,.. <br /> owNeR N�M�:��hn SWeerly 'TENANT NAME If Cotrimercial): <br /> OWNER MA�LBN�A'�DRE55: araeeT 6q'2 MaU�SrJ�/ LaCI@ <br /> arv �verett srnr W� ziP 9820� <br /> OWNER PHONE: 42J-C7�4-7��� OWNEl���AIL: <br /> _............ . .. <br /> . .. .. ....... <br /> _ __ <br /> CONTRACT�id M6lNfE: A5 YOII WISIl E�ACtI'EC <br /> coNTw�cTo�,qppR�ss: STREET825 S Sfacy ST <br /> C�N�e���l� $TATE y'�� ZIP 93134 <br /> cohz�u+cTo�Ps�oN�: 206-753-2525 coH�rRqcroR�MAi�; BRENDAK@ASYOUWISHELEC (C.CC�M <br /> CONTRACTOF�UC.#(R�QUIR�D: ASYOU\fW9�rJNM GTY OF�VER�TT�uSINESS LIC.#(RECtUIRED ;Q4SS62 i <br /> .,.. ... .. ....... ...... . . .. .. .. ' <br /> PRlMARY CON'T�.CT: � OWNER �CONTRACTOR �OTH��(Please Specify) � <br /> CONTAGT P1AME: GONTACT PNONE: 2�6-']'$3-2'�J25 <br /> Brenda CONTACT EMAIL��Cef�C��k as o��wishelectric,com <br /> AGR�EM�NT:!her�by certify tHat 1 hlave rG�ad and sxelnined this application and know rhe same�be tlUe&nd Cort'0cG A!I provisions of lawa ei�d on�/n�ness govemrng this type <br /> of Wo1'k Wlll be Comp/eted wfiFilirsY specrfTsd hsrain or not. The g,anting of a permit do�+s 1�of presume fo glv�9UthoNty to violate or cencel the prov/s/ons of any ofher state or <br /> /oca!/aw/�gUlaf/ng cohsfrtrcfion or fhe parformelice of construCt�oq. Tha�I srn slrfhOf�Z6d by tHQ oWhsr oF this propsrty fo perfom7 Ihe IvOIk(OrWhfch applicet�on is map'e s/ld/ <br /> comply Wifh Ehe SFafa Contractors Lew 98.27 RCW and 286.200 l4/�IC. <br /> Clty of Everott officiel Use pnly <br /> PERMfT# <br /> � � � � � � o� � <br /> Owtl u$horized Agent 3iyn3tUl'¢ Date (Revised 9/23/2096f <br />