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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 SITE INFORMATION <br /> PROJECT ADDRESS: 607 47th ST SE Everett WA Unit# 22 <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: Northwood Apartments <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 900.00 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: replace old 100a ml panel with new 100a mb panel <br /> CONTACT INFORMATION <br /> OWNER NAME:Williams Investment TENANT NAME(If Commercial):unit empty <br /> OWNER MAILING ADDRESS: STREET 19801 50th Ave W <br /> crry Lynnwood STATE WA zip 98036 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Rhema Electric <br /> CONTRACTOR ADDRESS: STREET 628 Spruce St <br /> CRY Burlington STATE WA zip 98233 <br /> CONTRACTOR PHONE:360416-8227 CONTRACTOR EMAIL: daveb@rhemaelectric.com <br /> CONTRACTOR LIC.#(REQUIRED): RHEMAEL94ODH CITY OF EVERETT BUSINESS LIC.#(REQUIRED):45783 <br /> PRIMARY CONTACT: D OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 360-630-0164 <br /> David Buben CONTACT EMAIL:daveb@rhemaelectric.com <br /> AGREEMENT:!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! <br /> comply with the State Contractors Law 96.27 RCW and 296.200 WAC. <br /> Cityof Everett Official Use Only <br /> PERMIT# <br /> 4 E I sog - <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />