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477 LECTRICAL 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 <br /> PROJECT.SITE ORMATON <br /> PROJECT ADDRESS:1 1 1 Alder St <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: EISFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $630 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 1 rirruit for an unit <br /> CONTACT INFORMATION <br /> OWNER NAME: Ralene Pishue TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 111 Alder St <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE:4259995493 OWNER EMAIL: <br /> CONTRACTOR NAME:Washington Energy Services <br /> CONTRACTOR ADDRESS: STREET 3909 196th St SW <br /> CITY Lynnwood STATE WA Z,P 98036 <br /> CONTRACTOR PHONE:206-378-6648 CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED):WASHIES854NG CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 054773 <br /> PRIMARY CONTACT: 0 OWNER M CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-378 6648 <br /> Nikki Hyett-Schnell CONTACT EMAIL:NHyett-Schnell@washingtonenergy.com <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 I <br /> comply with the State Contractors Law 18 27 ROW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br /> �5«as9,0 � om <br /> Nikki Hyett-Schnell R<so�� m��a�no,o<<�sd��me�, 07/03/2018 Eso`4- - ofcl <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />