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<br /> tLECTRICAL PERMIT A$LICATION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT, WA 98201
<br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: 610 West Casino Rd '
<br /> BUILDING AREA(if residential,new construction,remodel,or addition)
<br /> I3UILDING ■ - ■ ■ DUPLEX t • CI COMMERCIAL
<br /> USE OF BUILDING: Apartment s
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<br /> CONTRACT PRICE OF WORK' 0, 485 . 0 0
<br /> NUMBER OF DEVICES if low('«Rage):
<br /> FIRE ALARM? 0 NO
<br /> ASSOCIATED BUILDING PERM . if a•• ' -• e):
<br /> DESCRIPTION OF WORK:
<br /> Replacing fixtures with new LED, move hot water heaters
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<br /> OWNER NAME. i f " " s,0 , x,, .,TENANT NAME.If Comtnlaretal
<br /> OWNER MAILING ADDRESS:,, STREET 21215 s -, ktif
<br /> CITY err 7"�, STATE. ZIP
<br /> 4/05
<br /> OWNER PHONE: 3/Co r bZ, e4, OWNER EMAIL )C. vi '° t4 'nor r_ ' e$. 40
<br /> CONTRACTOR NAME: Valley Electric
<br /> CONTRACTOR ADDRESS: STREET 1100 Merrill Creek Parkway
<br /> CITY Everett STATE WA ZIP 98203
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<br /> ZS 1- Q1 O<' Opermit s@ve1ect ricCofCONTRACTOR PHONE: 1 ,
<br /> CONTRACTOR LIC.#(REQUIRED): VAL LE E c 141 NA CITY OF EVERETT BUSINESS LIC,"#(REQUIRED 0 2 2 5 5 8
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<br /> PRIMARY CONTACT: ❑OWNER COCONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE: 20 6 , 2 55 . 7 0 65
<br /> Ed Landin
<br /> CONTACT EMAIL: edlgVeleCtrlC . cora
<br /> AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this
<br /> type 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 provisions of any other state or
<br /> local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and t
<br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC.
<br /> City of Everett Official Use Only
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<br /> nerfA�Nitarized,Agent Signature Date (Revised 10/12/2015)
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