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, ,, ILECTRICAL PERMIT A L!CATI ON
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT, WA 98201
<br /> (P)425-257-8810 ( FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: 1300 100th PL SE 2- CS1 oO ko( gp
<br /> BUILDING AREA(if residential,new construction,remodel,or addition)-,- , SF
<br /> BUILDING TYPE. 0 SFR-DETACHED 0 SF
<br /> SFR-ATTACHED 0 DUPLEX [J(MULTI-FAMILY-#OF U TSa.a 0 COMMERCIAL
<br /> USE OF BUILDING: Apartment b
<br /> w ''" •FF' WOR : $ _r e . h r t yp �, I i vw
<br /> • 1 - ' - - e16
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<br /> UMBER OF DEVICES(if lo voltage): None
<br /> IRE ALARM? OYES U 0
<br /> ASSOCIATED BUILDING PERMIT#(i(apptIca e).
<br /> DESCRIPTION OF WORK:
<br /> Replacing fixtures with LED J Relocating hot water heaters
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<br /> OWNER NAME ;: :: TENANT NAME(I Cdr t :
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<br /> OWNER MAILING ADDRESS: STREET
<br /> CITY '. .,. .:r._ ' STATE .. ZIP /O5`r3
<br /> OWNER PHONE I, ' Z !OWNER EMAIL 1 'VII' s.. 1 -4 6--
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<br /> CONTRAGT#RNAME: Valle Electric
<br /> CONTRACTOR ADDRESS: " STREET 1100 Merrill Creek Parkway
<br /> CM' Everett STATE WAZIP
<br /> CONTRACTOR PHONE. 425 • tr-t d < - �. ONTRACTOR EMAIL:
<br /> permits@velectric . co
<br /> CONTRACTOR LIC.tQt11REt1=
<br /> VALLE E C .,41 NA J$rrY OF EVERETT BUSINESS LIC..#(Rectpae: 02255
<br /> (PRIMARY CONTACT: 0 OWNER � 0 OTHER(Please Specify) -
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<br /> CONTACT NAME: ICONTACT PHONE: 20 6 . 2 5 5 . 7 0 6 5
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<br /> Ed Landin CONTACT EMAIL edl@velectric . com
<br /> AGREEMENT:T hereby certify that l have read and examined this application and know the same to be true and correct. Ali provisions of laws and ordinances governing this
<br /> type 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 properly to perform the work for which application is made and!
<br /> comply with the State Contractors Law 18.27 RCW end 296.200 WAC.
<br /> Gird Everett Official Use.-Only
<br /> FEE
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<br /> PERMIT#
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<br /> 0 , =ii'f Agent Signature Date (Revised 10/12/2015) - -.
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