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477 ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2801 Baker Ave, Everett, WA 98203 <br /> BUILDING AREA(if residential,new construction, remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED D SFR-ATTACHED 0 DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL <br /> USE OF BUILDING: Primary residence <br /> - ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 300 <br /> NUMBER OF DEVICES (if low voltage): 2 <br /> FIRE ALARM? 0 YES El NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Need temporary power pole connected for upcoming /future remodeling services. <br /> Power pole has already been installed; need PUD to establish connection and restore service. <br /> CONTACT INFORMATION <br /> OWNER NAME: MARTIN DIKO TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 5923 LOWELL RD <br /> cm EVERETT STATE WA ziP 98203 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: /�. <br /> CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): °�,-r\ <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425 346 7990 <br /> MARTIN DIKO CONTACT EMAIL: MARTINDIKO@LIVE.COM <br /> AGREEMENT:I 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 type <br /> 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 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> fta <br /> fin ca.(�Ir, 1101106"-- 09/25/2017 E \ "9-c9 -- 2( ( <br />