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4zerr 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 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 920 Hoyt Avenue <br /> BUILDING AREA(if residential, new construction, remodel,or addition)1000 SF <br /> BUILDING TYPE: la SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Residence <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 2000.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES ®NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Kitchen remodel <br /> CONTACT INFORMATION <br /> OWNER NAME: James David TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 920 Hoyt Ave <br /> CITY Everett STATE WA zip 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Performance Electric Inc. <br /> CONTRACTOR ADDRESS: STREET 7307 282nd PI NW <br /> CITY Stanwood STATE WA ZIP 98292 <br /> CONTRACTOR PHONE: 425-754-5103 CONTRACTOR EMAIL: performanceelectric@wavecable.com <br /> CONTRACTOR LIC.#(REQUIRED): PERFOEI91908 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 048178 <br /> PRIMARY CONTACT: 0 OWNER 17 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-754-5103 <br /> Debbie Edstrom CONTACT EMAIL:.performanceelectric@wavecable.com <br /> AGREEMENT:t hereby certify that l 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 lam authorized by the owner of this property to perform the work for which application is made and l <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> LLL7Lxi Extof7tarn .-?1 a y 118' E [?)01 - \ <br /> Z� <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />