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*zeir 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 /> �" ,71l -_ ;�y�' "'� t N AW W;' Yr : a <br /> PROJECT ADDRESS: 3707 Hoyt Ave <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED ❑DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Residential <br /> Y � <br /> CONTRACT PRICE OF WORK: $ Cost of Material —$1,500 (homeowner to rewire home) <br /> NUMBER OF DEVICES(if low voltage): N/A <br /> FIRE ALARM? ❑YES El NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): N/A <br /> DESCRIPTION OF WORK: Homeowner to rewire (currently knob & tube) in accordance with the NEC. <br /> Scope of work to include - —10 circuits, new AFC! CBs as required, GFCI outlets as required, new <br /> NM cable throughout. Old knob & tube will be removed if possible, some will be denergized and remain <br /> concealed in wall, ceiling, etc. The project will occur in phases, possible 1 circuit at a time, as we'll be <br /> living in the space. <br /> I„__.�.---CrAJ. ,. ,,,:,i4,. ,_a1uI».0 hf r...,3..: 04:4TI T,Y 0-0 1d�S� „__mx..da.. -.,:k. v ;G�, <br /> Y dr 6 <br /> OWNER NAME: Trevor& Linzi Welch TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 3707 Hoyt Ave <br /> crr Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 206-799-8949 OWNER EMAIL:trevorlee.welch@gmail.com <br /> CONTRACTOR NAME: N/A <br /> CONTRACTOR ADDRESS: STREET N/A <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: N/A CONTRACTOR EMAIL: N/A <br /> CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-799-8949 <br /> Trevor Welch CONTACT EMAIL: trevorlee.welch@gmail.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 /> SA-2-1(7 E ��o S - VS 2 <br /> Owner/Authorized Agent Signature (Revised 9/23/2016) <br />