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ElitCTRICAL PERMIT APJCATION <br /> 'I♦►�J 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 INFORMATION <br /> PROJECT ADDRESS: 1309 Hewitt Ave, Everett, WA 98201 <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: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 1500 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Wire outdoor AC unit 50 Amp <br /> CONTACT INFORMATION <br /> OWNER NAME:Al Loans Chuck Spoelstra TENANT NAME(If Commercial):Loft coffee bar <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZW <br /> OWNER PHONE: 425-258-0674 OWNER EMAIL: <br /> CONTRACTOR NAME: Nash Electric LLC <br /> CONTRACTOR ADDRESS: STREET 8316 71st St NE <br /> ary Marysville STATE WA zip 98270 <br /> CONTRACTOR PHONE:425-268-4524 CONTRACTOR EMAIL: nash_electric@hotmail.com <br /> CONTRACTOR UC.#(REQUIRED): NASHEEL853KA CITY OF EVERETT BUSINESS UC.#(REQUIRED):o)61 47.6 <br /> PRIMARY CONTACT: 0 OWNER la CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-268-4524 <br /> Slavik CONTACT EMAIL:nash__electric@hotmaiLcom <br /> AGREEMENT:I hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this tyF <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 I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> 7 City of Everett Official Use Only <br /> � - PERMIT# <br /> f z - E SOS \G‘q <br /> o 5 it <br /> rAuthorized Agent Signature Date (Revised 9/23/2016) <br />