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ELECTRICAL PERMIT APPLICATION <br /> #1111P'01. - CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 J FAX 425-257-8857 j (E)everetteps@everettwa.gov I www.everettwagov/permits <br /> tr,;r2argIA.411141a/a,lr.prri*ce4: 9111rS:gl,WOt:OIVASatt?'„ :..tttaw4lsa;;Q;rltr:lt:i'fil4 <br /> PROJECT ADDRESS: 1126 West Casino Road Apt#15 Everett WA 98204 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX El MULTI-FAMILY.-AI OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Apartment Building <br /> CONTRACT PRICE OF WORK:$ 900.00 <br /> NUMBER OF DEVICES if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 125a main lug panel change <br /> 4,1r,;f <br /> OWNER NAME:Williams Investment TENANT NAME(If Commercial):empty unit <br /> OWNER MAILING ADDRESS: STREET 19801 50th Ave W <br /> .cny Lynwood TATEWA zip-9.036 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Rher118 Electric <br /> „. <br /> CONTRACTOR ADDRESS: sTREET628 Spruce St <br /> ciTy Burlington sTATE WA vp 98233 <br /> CONTRACTOR PHONE;360-416-8227 CONTRACTOR EMAIL: daveb@rhemaelectric,corn <br /> CONTRACTOR LIC.,#(REQUIRED): RHEMAEL94ODH CITY OF EVERETT BUSINESS LIC. .4A783 <br /> „ . . <br /> PRIMARY CONTACT: DOWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 360-630-0164 <br /> Dave Buben CONTACT EMAIL: daveb@rhemaelectric.com <br /> AOREEMEWT I hereby certify that I have read and examined this application and know the same to be tree,pod commtNI proyMions of laws and ordinances governing this type <br /> of work willbe torripleted whether specified herein or not. The granting ole pow*does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating constnmczIon or the performance of construction. That!am 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 ROW W'sci 298.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> C3 2°( <br /> 22 <br /> OvonertAuthorized Agent Signature Date (Revised 9/2312016) <br /> . . <br />