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ELECTRICAL PERMIT AIOLICATION <br /> Neitid_ 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 1 www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION q �`�\ <br /> PROJECT ADDRESS: 1300 100th PL SE 2-4C5j \ \�J \ Q(. V'DO <br /> BUILDING AREA(if residential, new construction,remodel, or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX [YMULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Apartment buil-ding <br /> ELECTRICAL APPLI ATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 916 , 309 00 <br /> NUMBER OF DEVICES (if Iovkvoltage): None <br /> FIRE ALARM? OYES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: <br /> Replacing fixtures with LED, Relocating hot water heaters <br /> CONTACT INFORMATION <br /> OWNER NAME:V` - Tat: TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREEr .� s� V, G/�C/� <br /> '''^ Q C ` .. STATE a ' ZIP 1 V J(3 <br /> clrr J ;� <br /> OWNER PHONE: '310, . &a. k.tp 6 � OWNER EMAIL: IA tck ow vrtstAr <br /> " a r <br /> CONTRACTOR NAME: Valley Electric <br /> CONTRACTOR ADDRESS: STREET 1100 Merrill Creek Parkway <br /> SIT, Everett STATE WA zP 98203 <br /> CONTRACTOR PHONE: 1Z S , 61 0-/ . k y ,3 ONTRACTOR EMAIL: permits @ v e l e ct r i c . corm <br /> CONTRACTOR LIC.#(REQUIRED). <br /> VALLEEC 141NA CITY OF EVERETT BUSINESS LIC.#(REQUIRE :022558 ----) <br /> PRIMARY CONTACT: 0 OWNER CYCONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206 . 255 . 7065 <br /> Ed Landin CONTACT EMAIL: edl@velectric . corn <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 <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 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 end 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> 3E1 1 r4- <br /> a PERMIT# <br /> E '- -ok - O 3 <br /> , <br /> OvwnerlAuthorized Agent Signature Date (Revised 10/12/2015) <br />