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4:7r 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 /> 1� '��� '- ' "fix +�yy,'�' � ..... .� � r ��\\ �� ? <br /> �"\ \� � 1" 1141 ,.\ \�........ ,,,z•' <br /> PROJECT ADDRESS: 28 Magnolia Ave, Everett WA 98203 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) 1800 SF <br /> BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Primary Residence <br /> w fix..... <br /> CONTRACT PRICE OF WORK: $ n/a <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Disconnect 2 existing circuits currently servicing an electric furnace and connect to a new <br /> electric furnace. 2x 220v @ 60A. Will also install non-fused safety disconnect if not already installed in current location. <br /> ,�irtiswni/�,.fi.r /a... ... ��a+Ysses.. .. .,./. ,,,, �`"� 3.\ .,.,•2� -. ».w ... ... ... <br /> OWNER NAME: Travis Sharp TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 28 Magnolia Ave <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE: 707-360-7466 OWNER EMAIL:travis.sharp@zoho.com <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: 'CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: ®OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 707-360-7466 <br /> Travis Sharp CONTACT EMAIL:travis.sharp@zoho.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 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 /> /2a4 3-War 2/21/2018 E itos2-V?)01. <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />