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�-� 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 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits
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<br /> PROJECT ADDRESS \,53ZGrand Ave
<br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF
<br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL
<br /> USE OF BUILDING:
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<br /> CONTRACT PRICE OF WORK:$ 1950
<br /> NUMBER OF DEVICES(if low 'Rage):
<br /> FIRE ALARM? 0 YES . '4 NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):
<br /> DESCRIPTION OF WORK: Circuit
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<br /> OWNER NAME:Tom Mara TENANT NAME(If Commercial):
<br /> OWNER MAILING ADDRESS: STREET 1562 Grand Ave
<br /> crrr Everett STATE Wa zip 98201
<br /> OWNER PHONE: 206.714.1639 OWNER EMAIL:thomasmara@gmail.com
<br /> CONTRACTOR NAME: Aqua Quip
<br /> CONTRACTOR ADDRESS: STREET 730 SW 34th St
<br /> Crry Renton STATE Wa zip 98
<br /> CONTRACTOR PHONE: 425.264.2327 !CONTRACTOR EMAIL: electrical@aquaquip.com
<br /> CONTRACTOR LIC.#(REQUIRED): AQUAQQ*923LJ CITY OF EVERETT BUSINESS LIC.#(REQUIRED 025546
<br /> •
<br /> PRIMARY CONTACT: la OWNER 0 CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE: 205.714.1639
<br /> Tom Mara CONTACT EMAIL:Thomasmara@gmail.com
<br /> AGREEMENT:I hereby certify that t have read and examined this application and know the same to be true and correct, Ail 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 lam authorized by the owner of this property to perform the work for which application is made and!
<br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC,
<br /> City of Everett Official Use Only
<br /> PERMIT#
<br /> /A \ E
<br /> R-o3 --0S
<br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) ...... ........ ..... ... . ... ...
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