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4-77- 1I±CTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 ( FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFOIiMATIOM <br /> PROJECT ADDRESS: 7515 Cascade drive <br /> BUILDING AREA(if residential,new construction,remodel,or addition) 1200 SF <br /> BUILDING TYPE: 0 SFR-DETACHED {a SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: SFR <br /> ELECTRICAL APPLICATION IIN.FORIVIA1 ION <br /> CONTRACT PRICE OF WORK:$ 6500 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES ® NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Rewire complete including b$amp service <br /> 12Si4r <br /> CONT;A.CT.I 1Ft' RMATION <br /> OWNER NAME: TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> CITY Frk. 'I O C k (?2 t'i 1.61 STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: C2 electric IIc <br /> CONTRACTOR ADDRESS: STREET 20316 10th Ave W <br /> CITY Lynnwood STATE WA ZIP 98036 <br /> CONTRACTOR PHONE: 206-793-1417 CONTRACTOR EMAIL: c2electricllc@gmaiLCOm <br /> CONTRACTOR LIC.#(REQUIRED): C2ELEEL9O4LS CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 048883 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR (-(]OTHER(Please Specify) Site Manager <br /> CONTACT NAME: CONTACT PHONE: 425-750-4745 <br /> Matt Saban CONTACT EMAIL: <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 /> I 1 . PERMIT# <br /> ,1, 651<(,) (20( Enb5---t t Z <br /> wner/Authorized Agent Si nature Date (Revised 9/23/2016) <br />