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4 rr 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 /> O17 ._'-'1117-115Va' a � N C i: 4*": <br /> a - w`,'s' lhIi(Ild�'r'•� ` 0 I t <, r 1, 11��a . .vi a6.kt� s i iv i n . �.�:aKl 4 <br /> PROJECT ADDRESS: 3307 Federal Ave. Everett, WA 98201 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> ' t t nLE i ,. : s 1Q N 0 "31 �i _. . I �g, ...0,,,,1111 e'MN <br /> . <br /> �..... • . r. ,N . ��r3a4a✓ � ..: e�» � ...,x4�. � .5s.� x-:.. tl . ,i«. ,.m ��in..... . � e� i�� _ d ? g'1 <br /> x. �`�° 'L - <br /> CONTRACT PRICE OF WORK: $ 350.00 r <br /> NUMBER OF DEVICES(if low volkge): <br /> FIRE ALARM? ❑YES El 0 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: adding light fixture in crawl space for furnace maintence <br /> n "n FPS a4410r a CONTACT`�Ntt9RMATtON �` ' ' t�' 1 wr og„ , 1nn"n <br /> OWNER NAME:Jeff Ziemer TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 3307 Federal Ave. <br /> c,,,, Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 425-791-6224 OWNER EMAIL: <br /> CONTRACTOR NAME: Rhema Electric <br /> CONTRACTOR ADDRESS: STREET628 S. Spruce St. <br /> e,Burlington STATE WA (!.3. \\\ <br /> 23 <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): RHEMAEL94ODH CITY OF EVERETT BUSINESS LIC.#(REQUI5783 <br /> PRIMARY CONTACT: 0 OWNER la CONTRACTOR 0 OTHER(Please Specify) Dave Alaniz <br /> CONTACT NAME: CONTACT PHONE: 360-391-1884 <br /> DAve Alaniz CONTACT EMAIL:davea@rhema electric. <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 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 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> iiiir <br /> 1- 17- IW E `6(2)( - ( (-- 0 <br /> • •rued Agent Signature Date (Revised 9/23/2016) <br />