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MAY/09/2018/WED 02: 29 PM Gre Tod Heating FAX No, 206 4s 5216 P. 001/001 <br /> 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: 1332 Grand Ave <br /> BUILDING AREA(if residential,new construction,remodel,or addition)4000 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#Or UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 807 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? i_I YES ®NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): _ <br /> DESCRIPTION OF WORK: 240 Volt/25A to AC unit. New 120 Volt/20A to GFCI. <br /> CONTACT INFORMATION <br /> OWNER NAME:Patrice Doerr TENANT NAME(if Commercial): <br /> OWNER MAILING ADDRESS: STREET 1 332 Grand Ave <br /> env Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 206-790-5742 OWNER EMAIL:brendak@asyouwishelectric.com <br /> CONTRACTOR NAME:As You Wish Electric <br /> CONTRACTOR ADDRESS: aTRsEr825 S Stacy ST <br /> cry Seattle STATE WA zip 98134 <br /> CONTRACTOR PHONE:206-783-2525 CONTRACTOR EMAIL: brendak@asyouwishelectric.com <br /> CONTRACTOR LIC.#(REQUIRED): asyouyw925nm CITY OF EVERETT BUSINESS LIC.#(REQUIREb):048862 <br /> PRIMARY CONTACT; 0 OWNER 0 CONTRACTOR ID OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-783--25255 <br /> Scott CONTACT EMAIL:brendak@asyouwishelectric.com <br /> AGREEMENT:I hereby certify that I have read end examined this application end 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 or 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 1 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 16.27 ROW and 295,200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 5/6/N E ��o�� 0�-3 <br /> e er/Authorized Agent Signature <br /> (Revised 9/23/2016) <br />