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03/29/2018 11 : 15 #3282 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 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> . PI�Q:i1 CT "C) :..NFORMA'1..•.: _ .. , <br /> PROJECT ADDRESS: 3019 Colby AVE .. <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: a SFR-DETACHED 0 SFR-ATTACHED EI DUPLEX 0 MULTI-FAMILY-#OF UNITS: fI COMMERCIAL <br /> USE OF BUILDING: RECOVERY <br /> R4� TR4CAL API I;CA'�'10N �I+�IR�IRMAT!IQM • . <br /> CONTRACT PRICE OF WORK:$ 500 <br /> NUMBER OF DEVICESi[ w voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: CEILING OUTLET FOR PROJECTOR _ <br /> '...CONTACT INFORMATION .. . <br /> OWNER NAME: TENANT NAME(If Commercial): EVERGREEN RECOVERY <br /> OWNER MAILING ADDRESS: sTnEEr 3019 Colby Ave <br /> cm( Everett STATE: WA 2115 98201 <br /> OWNER PHONE: 425.258.2407 OWNER EMAIL; <br /> CONTRACTOR NAME: EYLANDER SALES& SERVICE <br /> CONTRACTOR ADDRESS: snuff 3601 EVERETT AVE <br /> crrr EVERETT STATE WA zip 98201 <br /> CONTRACTOR PHONE; 425.259.2161 ACONTRACTOR EMAIL: <br /> CONTRACTOR LIG.#(REQUIRED): EYLANSS142LP _CITY OF EVERETT BUSINESS LIC.#(REOUIRER):016363 <br /> PRIMARY CONTACT: 13 OWNER Gl CONTRACTOR GI OTHER(Please Speoity) JOHN JACKFD D'QTNER <br /> CONTACT MIME: CONTACT PHONE: /)( 3'J 2 <br /> tJ O H tckLAA1 eL CONTACT EMAIL: <br /> AGREEMENT:I hereby certify that I have mad and examined this appiicatlon and know the same to be true end cooed. All p�rovrsions of laws and=Men=governing this qpe <br /> or work will be completed whether specified herein or not The granting of a permit does not presume to give authonly to violate or cancel the provisions of any other state or <br /> local law regulating construction ar 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 15.27 RCW and 296.200 WAG <br /> City of Everett Official use Only <br /> �(J /7(��7 PERMIT# <br /> Owner-.-.:' orizad Agent Signature r a (Revised 9/23/2096) <br />