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477 ELECTRICAL PERMIT APIICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P) 425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov ( www.everettwa.govlpermits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2111 Cleveland Ave <br /> BUILDING AREA(if residential,new construction,remodel,or addition) Residential SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 1 0 COMMERCIAL <br /> USE OF BUILDING: Home <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 3,000 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 6EI NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Replace existing bath fan with new-install motion sensor module-install multi-speed and time delay module- <br /> CONTACT INFORMATION <br /> OWNER NAME: Robyn Fischer TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 2111 Cleveland Ave <br /> are Everett STATE WA zip 98201 <br /> OWNER PHONE: 425.346.1589 OWNER EMAIL: n/a <br /> CONTRACTOR NAME: Arrow Insulation Inc <br /> CONTRACTOR ADDRESS: STREET PO Box 1233 <br /> CITY Mount Vernon STATE WA ZIP 98273 <br /> CONTRACTOR PHONE: 206-682-9276 CONTRACTOR EMAIL: service@arrowconservation.com <br /> CONTRACTOR LIC.#(REQUIRED): ARROWII855M1 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):052485 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-686-0002 <br /> Logan Frederickson CONTACT EMAIL: Ifrederickson@arrowconservation.com <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 1 am authorized by the owner of this property to perform the work for which application is made and 1 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> Jeremy Smith 7.26.18 E \3g <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />