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----� • ELECTRICAL PERMIT'APPLICATION • <br /> CITY OF EVERETT PERMIT SERVICES <br /> '3209 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425.257-8810 l FAX (RE)eyeraIteps@evarattlygapv I wnw verettwa.govl rmits <br /> PROJECT ADDRESS:5406 East ©r, Everett 98203 <br /> BUILDING AREA.(if residential,new ConstruCtIon,remodel,or addition) SF <br /> BUILDING TYPE: Cl SFR-DETACHED of SFR-ATTACHED CI DUPLEX D MUtT1-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: sf living' <br /> q <br /> wrrinr, - _ r ,�.._,.- . Jx�,3.. ov.%a. : :9 yy <br /> ,• :'.a.itZ' ._..,, q-,k, ,3r c . ,,_venal <br /> CONTRACT PRICE Of.WORK:$ 12(X) <br /> NUMBER OF DEVICES(Cow voltage),; <br /> FIRE ALARM? D YES, la NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable):; <br /> DESCRIPTION OFWORK: .(2).altered circuits for.moving Outlets <br /> OWNER NAME;Kathy Kernel TENANT NAME(if eotnmerciatj <br /> OWNER MAILING ADDRESS, sneer 540 East DR <br /> cm Everett STAB WA ze*982{}3: <br /> OWNER PHONE: na IowNER EMAiL na <br /> CONTRACTOR NAME: In:House Electric <br /> cONTRACTOR.ADDREss: mei-1530 SE' <br /> ca,,Lalce Stevens srATE WR 7jo 98258 <br /> CONTRACTOR PHONE: _ ,CONTRACTOR EMAIL; <br /> CONTRACTOR LI.C. REQUIRED: inhoues952gg CITY OF EVERETT.BUSINESS LIC. REQUIRED):044168 <br /> PRIMARY CONTACT: DOWNER 121 CONTRACTOR CI OTHER(Plèáse Specify) <br /> CONTACT NAME: CONTACT f NONE::4257603203 <br /> kelsey CONTACT EMAti:iheperrnits©gmail.com <br /> AGREEMENT::hereby mei/jet/lel to +e madam/examined-this apprreationanctenoweekeemef the'emend coned AApruwsians a f tawfaildbritioartoes gaysn rig fhfs ' <br /> of work w+9be cornered*other specified herein or not The agin;Oa pon loss pc4,progime to oke-aamo*tovialate orcancef the proulsfons of any other state or <br /> toOMfewregoloOgcatra&udionortote poemr aceoftbnst clan. That<t -eatheritect WI/wanner of this/meet t y tepe/fonn the wortfOrohlohvOtieMiOnlismadearutt <br /> comply with the Siete GontrodtorOw 78. 7'PCVi and290.200 WAE., <br /> . . • if <br /> City ot Everett O*Ciaf Ilse Only <br /> Y • ��O PERMIT <br /> itep <br /> Ias EI 8 -0057 <br /> Owner/ sad Agent Signature / Date Meths. 9J23f2D1fll <br /> Scanned with CamScanner <br />