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2511 E GRAND AVE 2019-03-22
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2511 E GRAND AVE 2019-03-22
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Last modified
3/22/2019 9:48:01 AM
Creation date
3/22/2019 9:48:00 AM
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Address Document
Street Name
E GRAND AVE
Street Number
2511
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04/22/2018 08: 23 #3348 P. 001/001 <br /> 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)everettepsceverettwa.gov 1 www.everettwa.govlpermits <br /> • PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2511 East Grand Ave <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: CI SFR-DETACHED D SFR-ATTACHED CI DUPLEX 0 MULTI-FAMILY-#OF UNITS: _ 0 COMMERCIAL <br /> USE OF BUILDING: SFR <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:S 1500 <br /> NUMBER OF DEVICES if low volta,e : <br /> FIRE ALARM? D YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK; 2 220 VOLT HEATER CIRCUITS- REPLACE 110 VOLT CIRCUITS TAPPED IN' <br /> EXISITING 120 VOLT OUTLETS BY OTHERS. <br /> • <br /> �•- <br /> CONTACT INFORMATION <br /> OWNER NAME: DAWN LOWERY TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 22001 STATE RT 530 <br /> env DARRINGTON STATE WA tap 982.41 <br /> OWNER PHONE: 425.750.0474 /OWNER EMAIL: <br /> CONTRACTOR NAME: EYLANDER SALES &SERVICE <br /> CONTRACTOR ADDRESS: sTREFr 3601 EVERETT AVE <br /> ern EVERETT STATE WA zip 98201 <br /> CONTRACTOR PHONE: 425.259.2161 CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): EYLANSS 142LP CITY OF EVERETr BUSINESS LIC.#(REQUIRED):016363 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR VI OTHER(Please Specify) DR JOHN DA.QTHER <br /> CONTACT NAME: CONTACT PHONE: 4255.231.2275 <br /> JOHN D'OTHER CORNELIUS CONTACT EMAIL:jceylander@yahoo.com <br /> AGREEMENT.I hereby certify that I have read and examined this application and/mow 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 or permit does not presume to give authority tO violate or cancel the provisions of any otherstate or <br /> local Jaw regulating construction or the performance of construction. That I em authorized by the owner of this property to perform the wale for which application is made and I <br /> comply with the State Contractors Law 18.27 flCW and 298.200 WAC, <br /> City of Everett Official Use Only <br /> PERMIT <br /> /IV E l 'Soli- If121 <br /> Owner p Dined gent Si L Date (Revised 9/23/2016) <br />
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