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06/04/2018 13:42 #3434 P. 001/002 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps©everettwa.gov I www.everettwa_gov/permits <br /> PROJECT ADDRESS: 2936 ROCKEFELLER AVE <br /> BUILDING AREA(if residential,new construction.remodel,or addition) SF - <br /> BUILDING TYPE: ©SFR-DETACHED Cl SFR-ATYACHED 0 DUPLEX El MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF DUILDING: CHURCH <br /> . ..�..o. . . ..,. .. . ..:•....,,..,,;; .. .. +,BAR. :; >II .. -. <br /> CONTRACT PRICE OF WORK: $8270 <br /> NUMBER OF DEVICES (if low v•tage): _ <br /> FIRE ALARM? CI YES Cl NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: NEW PANELS TO PROVIDE FULL SHUNT TRIP <br /> OWNER NAME:FIRST PRESBYTERIAN CHURCH TENANT NAMEI(f commereiai): <br /> OWNER MAILING ADDRESS: s FPI'2936 ROCKFELLER AVE <br /> cny EVERETT STAT£ WA z 98201 <br /> OWNER PHONE: 4253259.7139 OWNER EMAIL: <br /> CONTRACTOR NAME: EYLANDER SALES &SERVICE <br /> CONTRACTOR ADDRESS: STMT 3601 EVERETT AVE <br /> cm `A,EVERETT STATE V YA zip 98201 <br /> CONTRACTOR PHONE: 425.259.2161 'CONTRACTOR EMAIL: <br /> CONTRACTOR LIC,#(REQUIRED): EYLANSS142LP CITY OF EVERETT BUSINESS LIC.#(REQUIRFI):016363 <br /> PRIMARY CONTACT: la OWNER 1"d CONTRACTOR El OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.231.2275 <br /> JOHN EYLANDER CONTACT EMAIL: <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 /> or 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 l am authorized by the owner of this property to perform the warts for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 295.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> /./A/4/1; <br /> O or/Autho ed Agent Signature ► - (Revised 9123/2016) <br />