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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov www.everettwa.gov/permits <br /> 4rZETT <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2905 21st St Everett WA 98201 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 23 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Restidental <br /> ,EL 1RICAL APPLICATION INFORMATION <br /> n, <br /> CONTRACT PRICE OF WORK: $ 1850 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES RI NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 200amp Panel <br /> CONTACT INFORMATION <br /> OWNER NAME:Ryan Andrews TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 2905 21st St <br /> c„ Everett STATE WA zl 98201 <br /> OWNER PHONE: 425-503-00027 OWNER EMAIL:ryan.n.andrews©outlook.com <br /> CONTRACTOR NAME: SeaTOwn Electric <br /> CONTRACTOR ADDRESS: STREET PO BOX 75538 <br /> c.,Tv Seattle <br /> STATE WA ZIP 98125 <br /> CONTRACTOR PHONE: 206-905-3690 CONTRACTOR EMAIL: Makayla©seatownelectric com <br /> CONTRACTOR LIC.#(REQUIREf:i): SEATOEC860RB CITY OF EVERETT BUSINESS LIC.#(REQUIRED):53916 <br /> . r <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-905-3690 <br /> Brandon Phillips CONTACT EMAIL:info@seatownelectric.com <br /> AGREEMENT:t 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 t am authorized by the owner of this property to perform the work for which application is made and 1 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> (t /0 /24/ /201 F 11L0--iov) <br /> Owner/Authorized 'gent Signature Date (Revised 9/23/2016) <br />