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ELECTRICAL PERMIT APP (CATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> j;i0E-rr <br /> _.. r,-._ r\'.=E , 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2810 21st Street <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED El SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Single Family Residence <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 1050.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Install new 200a overhead meter and loadcenter. Provide new grounding <br /> and bonding. Pick up all existing circuits and verify new NMB romex installed by the previous owner <br /> has been installed properly and meets all current code requirements. <br /> CONTACT INFORMATION <br /> OWNER NAME:Kyle Thompson TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 2118 187th Street Court East <br /> crry Spanaway STATE WA ZIP 98387 <br /> OWNER PHONE: 206-919-2484 OWNER EMAIL: <br /> CONTRACTOR NAME: Trinity Electric, LLC <br /> CONTRACTOR ADDRESS: STREET 15410 91st Avenue SE <br /> crry Snohomish STATE WA ZIP 98296 <br /> CONTRACTOR PHONE: 360-668-5000 CONTRACTOR EMAIL: Jeff@trinityelectricllc.net <br /> CONTRACTOR LIC.#(REQUIRED): TRINIEL911 RJ CITY OF EVERETT BUSINESS LIC.#(REQUIRED):049255 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-953-2367 <br /> Jeff Whetzel CONTACT EMAIL: Jeff@trinityelectricllc.net <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 /> of 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 I am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 12t: E ��3 SOU <br /> Owner/Aut or ed Agent Si ature Date 9 a e (Revised 9/23/2016) <br />