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04/17/2018 08:22 #3333 P. 002/002 <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)everetteps(geverettwa.gov I www.everettwa.gov/permits <br /> • <br /> • <br /> PROJECTSITE INFORMATION • <br /> PROJECT ADDRESS: 2320 Rucker AVE .�. <br /> BUILDING AREA(if residential,new construction,remodel,or addition) w SF <br /> BUILDING TYPE: L1 SFR-DETACHED G)SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ID COMMERCIAL <br /> USE OF BUILDING: office <br /> ELECTRICAL APPLTC ATI ONINFORM ATION • . . . . . • <br /> CONTRACT PRICE OF WORK:$ 500 _ <br /> NUMBER OF DEVICES if low volta•e ; .. <br /> FIRE ALARM? 0 YES CI NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: computer outlet <br /> • CONTACT INFORMATION <br /> OWNER NAME:Sanford Wright TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS; sraEr 2320 Rucker Ave <br /> eIr EVERETT STATE WA ZIP 98201 <br /> OWNER PHONE: 425210.1287 OWNER EMAIL: <br /> CONTRACTOR NAME: EYLANDER SALES &SERVICE _ <br /> CONTRACTOR ADDRESS; sins r 3601 EVERETT AVE <br /> eny EVERETT STATE WA y zip 98201 <br /> CONTRACTOR PHONE: 425259.2161 CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): EYLANSS142LP ICITY OF EVERETT BUSINESS LIC.#(REQUIRED):016363 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR A OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE; 425.231.2275 <br /> JOHN EYLANDER CONTACT EMAIL: <br /> AGREEMENT:I hereby certify that t have read and examined this application and know the same to be true and cormct All provisions of laws and ordinances governing this type <br /> of work war he completed whether specified herein or not The granting of a permit does not presume to give authoitty to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That!aro authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Colors Law 18.27 ROW and 298.200 WAC. <br /> City of Everett Official Use Only <br /> • PERMIT# <br /> v /7'' it EQL - \ l <br /> • =r Auld ked Agent Signature Date (Revised 9/13/2098) <br />