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4609 MARBLE LN 2019-07-24
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4609 MARBLE LN 2019-07-24
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Last modified
7/24/2019 9:38:31 AM
Creation date
7/24/2019 9:38:30 AM
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Address Document
Street Name
MARBLE LN
Street Number
4609
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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 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT ADDRESS: 4609 Marble Lane <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED Zi SFR-ATTACHED 0 DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> USE OF BUILDING: Residential R y <br /> CONTRACT PRICE OF WORK: $ 2500 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES m NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Replace panel and meter base <br /> OWNER NAME: Mary VanWagnen TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 4609 Marble Lane <br /> CITY Everett STATE WA z,P 98203 <br /> OWNER PHONE: 4255121 134 OWNER EMAIL: parksmvw@msn.com <br /> CONTRACTOR NAME: Switch Electric LLC <br /> CONTRACTOR ADDRESS: STREET 7226 139th Ave NE <br /> CITY Lake Stevens STATE Wa zip 98258 <br /> CONTRACTOR PHONE: 4252445511 CONTRACTOR EMAIL: service@myswitchelectric.com <br /> CONTRACTOR LIC.#(REQUIRED): SWITCEL91 OPK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 052557 <br /> PRIMARY CONTACT: ®OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 4255121134 <br /> Mary VanWagnen CONTACT EMAIL: parksmvw@msn.com <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 /> / ,.� �, 8/1 6/1 8 Ergo $ <br /> Owner/ thorized Agent nature Date (Revised 9/23/2016) <br />
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