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dow ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P) 25-257-8810 FAX 425-251-8857 j(E)eve tteps everetitwa. Oy www.everettwagoviperrrdts <br /> pRoJecr=SITE INFORMATION <br /> PROJECT ADDSS:3000 Rockefeller Ave, Buildin• C, Everett, WA 98201 <br /> BUILDING ARE° (1 residential,new construction,remodel,or addition)1000 S <br /> BUILDING TYP :iQ SFR-DETACHED Ct SFR-ATTACHED CI DUPLEX 0 MULTI-FAMILY-.#OF UNITS 0 COMMERCIAL <br /> USE OF BUILD N,: Offices <br /> ELECTRICAL AFPLICATIOK:IINFORMTION <br /> CONTRACT;" i E OF WORK:$ 3500 <br /> NUMBER OF ®= CES If tow voltage ;2 <br /> FIRE ALARM' Cl YES 0 NO <br /> ASSOCIATE I UILDINC PERMIT# if a•.Iicabie:. <br /> DESCRIPTici OF WORK: We dding card access to two (2)exterior doors. Job#831605 <br /> CONTACT INFORMATION <br /> OWNER NAM::: nohomish Coun TENANT NAME Of Commercial): <br /> OWNER MAIL! 4 ADDRESS: $re r <br /> �§T1 STATE ZIP <br /> OWNER PHO E:i OWNER EMAIL: <br /> CONTRtACTC - N tlE: EC Company <br /> CONTRACT° ADDRESS: STREET R412 South 1046th St <br /> clre Kent srms WA zp 98032 <br /> CONTRACT°. PHONE:206-242-301O CONTRACTOR EMAIL: Seettiepermits c@eCpoWersiife,COm <br /> CONTRACTS " ( #(REQUIRED: EC. %.,0‘.11v1**I 48Bd CITY OF EVERETT BUSINESS LIC.*REQUIRED);051774 <br /> PRIMARY C4 "TACT: a OWNER Ia CONTRACTOR )OTHER(Please Specify) <br /> CONTACT N. E: CONTACT PHONE: 541-2144494 <br /> Joe Run le CONTACT EMAIL:joe.rundie@ecpowerslife.com <br /> AGREEMENT:1'• .reiby certify that f have read and examined this applicationandknow tthe same to be awe and correct Alf provisions of laws and ordinances,govendoe this type <br /> of work will be c." .fisted whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the pm visions of any other state or <br /> local law regular construction or the performance of construction. That d am authorised by the owner of this property to perform the work for which application is made and <br /> comply with the',-te Contractors_Law1&.21RCWand296.200WAC. <br /> { <br /> City of Everett Official Use Only <br /> F' FtMfT , <br /> z.?"2 0001 <br /> t, it 17 EI [2- on <br /> cher, gent Signature Date (Revised 9/2=16) <br />