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ELECTRICAL PERMIT APPLICATION <br /> Ie►' CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 l(E)everetteps@everettwa.gov l www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:8113 Xavier Way <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Family Resident <br /> ELECT CAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WOR :$ 2500 <br /> NUMBER OF DEVICES(If I voltage): <br /> FIRE ALARM? 0 NO <br /> ASSOCIATED BUILDING PE n.#(If applicable): <br /> DESCRIPTION OF WORK: Move 200amp service and Replace Panel <br /> CONTACT INFORMATION <br /> OWNER NAME:Babbu TENANT NAME(If Commercial): <br /> OWNER MAIUNG ADDRESS: smear <br /> CITY STATE ZIP <br /> OWNER PHONE: 206-313-8940 'OWNER EMAIL: <br /> CONTRACTOR NAME: Emerald Electric NW <br /> CONTRACTOR ADDRESS: an,EEr 9830 220th pl se <br /> art Snohomish STATE wa 2p • • <br /> CONTRACTOR PHONE:4254461003 ICONTRACTOR EMAIL:joeyGemeraldelectricnw.co <br /> CONTRACTOR LIC.*REQUIRED): emeraen902dt 'CITY OF EVERETT BUSINESS LIC.#(R-~•UIRED) '5 Li Zg 2- <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) I ' r1 <br /> CONTACT NAME: CONTACT PHONE: 4254461003 <br /> Joey Costello CONTACT EMAIL:joey@emeraldelectricnw.cofn <br /> AGREEMENT:I hereby certify that t have read and examined this application and know the same to be hue and cored. AU provisions of laws end ordinances governing this type <br /> of au*will be completed whether speel5ed herein or not. The granting of a penal does not presume to glve authority to violate or cental the provisions of any other state or <br /> local law regulating co nsLuedon or the performance of canstrvctloa. That f em authorized by the owner of this properly to perform the work for which application!s made and f <br /> cora*with the Slate Contractors Law 1827 RCW and 298.200 WAG <br /> City of Everett Official Use Only <br /> PERMIT# <br /> �-r( E <br /> rlAuthoeksd Agent Signature Date (Revised 9/23/2018) <br />