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0 ELECTRICAL PERMIT APPLICATION <br /> mystiWi; CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT, WA 98201 <br /> (P)425-257-8810 { FAX 425.2578857 (E)everetteps everettwa. ov( vvww.everethivagovipermIts <br /> PROJECT ADDRESS: 2930 Maple street <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED I7 SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: m COMMERCIAL <br /> USE OF BUILDING: Clinic <br /> � ..... �'i `1"m t��� ,c4`xr-�e� a`4 �,..a..... .. � �.. :;:E ,a a..�a w.�' ., , �. �.. <br /> CONTRACT PRICE OF WORK:$ 28,230.00 <br /> NUMBER OF DEVICES(if tow voltage): <br /> FIRE ALARM? ®YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: replace feeders to new elevator controllers <br /> OWNER NAME: TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: AMERICAN ELECTRICAL CONTRACTORS, INC <br /> CONTRACTOR ADDRESS: sT EET 13550 39TH AVE NE <br /> crrr SEATTLE STATE WA zip 98125 <br /> CONTRACTOR PHONE: 206-679-7879 IcONTRA_ EMAIL.: SILL.MAHONEY COMCAST.NET <br /> CONTRACTOR LIC (REQUIRED) A IIERIEC9 3KFCITY OF EVERETT BUSINESS LIC #(RECUIREO> 92j I <br /> PRIMARY CONTACT: D OWNER 0 CONTRACTOR 0 OTHER(Please Specify), <br /> CONTACT NAMME:. CONTACT PHONE: 206-679-7579 <br /> BILL MAHONEY CONTACT EMAIL:BILL,MAHONEY r?,COMCAST.NEI" <br /> AGREEMENT:1 hereby certify that t have read and examined this application and know. the same ttrbetrue and correct. All provisions of laws and ordinances governing this type <br /> of work will be completed whelherspecified herein or not. the grarrfing of permit does,not presume to give authority/0 violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance ofconstruction. That lam authorized by the owner of this property,to perform the work for which application is made and 1 <br /> comp.r whir the State Contractors Law 1827 RCW and 296.200 WAC; <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 4i _ E 11 6•-i� <br /> OwnerlAutha' >.Agent Si! ,: a,re Date (Revised W2342016) <br />