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<br /> ter- ELE T.RI AL PERMIT APIaATION
<br /> ✓, ,.; CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT.,WA 98201
<br /> (P)4:i..-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwEI.gov,I www.everettwa„gov/permits
<br /> PROJECT ADORE's.3000 Rockefeller Ave, Building C, Everett, WA 98201
<br /> BUILDING AREA( residential,new€onstruct s„remodel,or addition)
<br /> 1000
<br /> "BUILDING TYPE. SFR-DETACHED C i SI RAT1ACKED 0 DUPLEX Cl MULTI-FAMILY-#OF UNITS:______, 0 COMMERCIAL
<br /> USE OF BUILI i+ ; OffiCeS
<br /> CONTRACT PRIDE OF WORK $ 3500
<br /> NUMBER OF DD ICES Qf low voltage): 1
<br /> FIRE ALARM? i Cl YES CI NO
<br /> ASSOCIATED BUILDING PERMIT# if a e•icable
<br /> DESCRIPTION 4F WORK: We are adding one(1) 120 Volt circuit to power a card access controller.
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<br /> OWNER NAME:$nollomish CountyTENANT NAME(If Commercial):
<br /> OWNER MAIL G ADDRESS: sresEr
<br /> Carl STALE . . ZIP
<br /> OWNER PHt €WNER EMAIL
<br /> tom ._ . >a. t
<br /> CONTRACTOR NAME: EC Company
<br /> CONTRACTORADRESS: STREE76412 South 196th St
<br /> Kent . STATE WA zip 98032
<br /> CONTRACTOR PRONE:206-242-3010 CONTRACTOR EMAIL: seat permits ecpowersiife.c om
<br /> CONTRACTOR L .# REQUIRED}: ECCCJM**14 A CITY OF EVERETT BUSINESS.LIC.,#(REQUIRED:051774
<br /> PRIMARY CONT4:CT: Ci OWNER 0 CONTRACTOR` D-OTHER(Please Specify)
<br /> CONTACT N WE CONTACT PHONE: '541-214-8494
<br /> Joe Rundle CONTACT EMAJL.:.Joe.rundle©ecpowerslife.c. rrN
<br /> AGREEMENT Ifierehy certify that thaw read and examined this application and know the same to be true and correct.Aft pnowsians ofiaws and ordinances governing this type
<br /> otwork will be . ed whether specified hereto or not The granting ofa pen»r"tdoesnot passim.togive authority to violate await the pmvislons of any other state or
<br /> local taw regutat ction or the pert ance of construction, That I am authorized Ay Me ownerof tho rtyto petition the work for which application is made and?
<br /> comply with the&atm Contractors Lew itt 2-7 ROW end 298,200 WAG,
<br /> City of Everett Official Use Only
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<br /> Ocirne, �iorleeid Hent Signature (Revised 312016)
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