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ELECTRICAL PERMIT APPLICATION <br /> cirroF EVERETT PERMIT SERVICES <br /> 320(1-CEDAR STREET, EVERETT,WA 98201:' <br /> (P)425-257.8810- ( FAX 425-257.8857 I(E)everettepeveret va.gov I wArw ev tfwa.govlperrr its <br /> PROJECT DREss: 631.3 CYPRESS ST <br /> BIJILDINGAI E l(If residential,new construction,remodel,or addition"-)400 sF <br /> BUILDING`TYPE: D SFR-DETACHED 21 SFR ATTACHED EI DUPLEX El MULTI-FAMILY. OF UNITS: ©COMMERCIAL <br /> USE OF BUILDING: KITCHEN IN HOME <br /> • ►t1O <br /> , "..4t101411' <br /> . <br /> CONTRACT PRICE QP WORK:$ 6000.00 <br /> NUMBER OF DEVICES(if low voltage}:0 <br /> FIRE ALARM? ❑YES 0 NO <br /> GATED BUILDING PERMIT (if applicable): <br /> DgsCRIPTiON OF WORK: KITCHEN REMODEL WITH 5 CIRCUITS <br /> �. ,.. � - -•e.,.'.`___ ,... ., _...F .m--......�F-=A-�.a_ -�,.,.:e .. ..,a. .;,� .,.�._.�� _ _... ,.. \`r,d w"�u�,?,k�°" "" �v �:�. �g,b,-"aF_�✓t���..,.. <br /> -OWNER NAME;EDDIE TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS 6313 CYPRESS S t <br /> :cEVERETT �rr� 98203 <br /> OWNER PHONE 4258704599 OWNER EMAIL <br /> CONTRACTOR NAME:WICKSTROM ELECTRIC INC <br /> CONTRACTOR ADDRESS: smESTPO°BOX 1028 <br /> cmr STAIIWOOD arkee WA zip 98292 <br /> CONTRACTOR PHONE:4255083304 CONTR ICTQR EMAIL: dwick,str (cCyin ail.corn <br /> CONTRACTOR UC #tR c uiR ) WICKSEIO1 ORA CITY OF EVERETT BUSINESS LSC'#(REOUilREa) G�1 J <br /> PRIMARY CONTACT ID OWNER Ia CONTRACTOR ga OTHER(Please-Speerdy) DAVID WICKSTROM <br /> CONTACT NAME: CONTACT PHONE: 4255083304 binol <br /> vs- <br /> DAVID \NICKSTROM CONTACT EMAIL:dwickstrorngyma I coin <br /> AGREEMENT I hereby certify that i lave-read end exramuredlI le applsabon and knew the same to be true end eG7 y of la sand:ord nces•gewhneeg this tyP, e <br /> of f*will-be completed whetherspecifled hereto or not The granting of a pate*does not:piesutene to grive;authon r` yi�te or canceftlze pia ns of any rthe stets or <br /> ?a allow regulating oon$truuclion or the perfonnanse of constructierk Thattetnefuthedzerf by the owner ofails pmpetty to perform the work forfor applicationlemede and t <br /> comply with the State Contradidre Law 18.27 RCWand 298.2 WAG <br /> Oily of Everett fficlai Use Only;; <br /> • PERMIT# <br /> r //-fg` <br /> E 111010B <br /> OwreertAutborized Age ignature Date (Revised 9/23i2016) <br />