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08/22/2018 09:28 #3612 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 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everetlwa.gov/permits <br /> PRQJ>:CT 51T5 INFORMATION.. . • <br /> PROJECT ADDRESS: 310 AIVerS0f <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: CI SFR-DETACHED ©SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY-#OF UNITS: E}COMMERCIAL <br /> USE OF BUILDING: SFR <br /> .I±I.gcTRICA4•APP1 ICATION'INFORMATION ' • '. <br /> ' •..ter::: . -- . <br /> CONTRACT PRICE OF WORK:$ 3100 <br /> NUMBER OF DEVICES(if tow voltage): <br /> . FIRE ALARM? 0 YES G7 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: NEW CIRCUITS FOR RANGE, ISLAND RECEPTACLE, POSSIBLE HOOD VEN <br /> MICRO/HOOD, POSSIBLE DISHWASHER. <br /> • <br /> • • • :CONTACT'INFORMATION . ' . •. - .• . • <br /> OWNER NAME:ALICE ROY TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 310 ALVERSON <br /> c, EVERETT STATE WA 20 98201 <br /> OWNER PHONE: 310.490.5046 FOWNER EMAIL: <br /> CONTRACTOR NAME: EYLANDER SALES&SERVICE <br /> CONTRACTOR ADDRESS: STREET 3601 EVERETT AVE <br /> cm. EVERETT STATE WA ztp 98201 <br /> CONTRACTOR PHONE: 425.259.2161 CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQU REP): EYLANSS142LP CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 016363 <br /> PRIMARY CONTACT: ID OWNER m CONTRACTOR U OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE 426.231,2275 <br /> JOHN N BLACK CONTACT EMAIL: <br /> AGREEMENT:t hereby certify that t 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 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 lam authorized by the owner of this property to perform the work for which application/s made and I <br /> comply with the Stale Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> c47.4.-2//, SOZ E <br /> "prized Agent Signature Re (Revised 9/23/2016) <br />