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�--� ELECTRICAL PERMIT APPLICATION <br /> i•►� 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 I www.everettwa.gov/permits <br /> .:. ......: <br /> ..:.4L. LTti ft <br /> . l <br /> PROJECT AD 823 -7/® bde0E7 <br /> BUILDING AREA(If residential,new co —*o model,or addition)300 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 1171 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: CI COMMERCIAL <br /> USE OF BUILDING: <br /> CONTRACT PRICE OF WORK:$ 12,225.00 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? CI YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: kitchen remodel <br /> •CONTACT Rlil <br /> OWNER NAME:Heather Craggs TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREET 4710 Mermont Dr <br /> ar„ Everett sum WA zip 98203 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Brandon Dietz -The, Vey.A-/\( c l,l% j <br /> CONTRACTOR ADDRESS: s]REET 14004 20th Ave NE <br /> arty Seattle STATE WA zip 98025 <br /> CONTRACTOR PHONE: 206-351-6428 (CONTRACTOR EMAIL: theelectriciansilcagmail.com <br /> CONTRACTOR LIC.#(REQUIRED): ELECTEL860JH CITY OF EVERETT BUSINESS UC. REQUIRED:Unknown <br /> PRIMARY CONTACT: 0 OWNER 14 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-351-6428 <br /> Brandon Dietz CONTACT EMAIL:theelectriciansllc©gmail.cOm <br /> AGREEMENT:t hereby certify that t have nod and exsnrrred this application and know the same to be true and coned. Air provisions of taws and ordinances govemeng this type <br /> of WOW will be completed Mather specified heroin or not. The granting of a permit does not presume to give autbortty to violate or cancel the provisions of any other stets or <br /> local law regulating consbuetion or the pnfiwmance of construction. That t am authorized by the owner of this property to pwfonn the work for which application is made and <br /> comply Oh the Stats Contractors Law 18.27 RCW end 296200 WAC. <br /> CO of Everett Official Use Only <br /> PERMIT# <br /> E \ebet- - \ 6- <br /> Owner Authorized Agent Signature Date (Revised 91232048) <br />