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00111IP ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET. EVERETT, WA 98201 <br /> (P)425-257-8810 l FAX 425-257-8857 1 (E)everetteps@everettwa.gov I vvww.everettwagov/perrnits <br /> PROJECT SITE INFORMATI,91§1 <br /> PROJECT ADDRESS: 2830 107th P1 SE Everett,WA ,....e. . .. <br /> r, tc-- <br /> BUILDING AREA(if residential,.new construction,remodel,or additioI ,--) <br /> r.) gL 4--Vabo SF <br /> 'BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLXX 0 MULTF-FAMILY4 OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: residence <br /> i,i4- #04.,LIi.:-:;,..: :-Iiiiito.'7:-::;':-,::' <br /> CONTRACT PRICE OF WORK: $ 7271 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES EI NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable). <br /> DESCRIPTION OF WORK: Rewire attached garage due to fire. Install new Electrical panel due to fire, replacing like for like <br /> CONTACT INFORMATION <br /> . <br /> OWNER NAME:John Akin TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 2830 107th P1 SE <br /> crry Everett STATE WA zip 98208 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Cascade Electri/comm <br /> CONTRACTOR ADDRESS: STREET 13350 41st Ave <br /> , .... <br /> crry Marysville STATE WA zw, 98271 <br /> CONTRACTOR PHONE: 360.651.8500 CONTRACTOR EMAIL:justind@ced-oLcom <br /> CONTRACTOR LIC.#(REQUIRED: cascael872or CITY OF EVERETT BUSINESS LIC.#(REQUIRED);52685 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) _ <br /> CONTACT NAME: CONTACT PHONE: 360.913.4744 <br /> Justin Boley CONTACT EMAIL justind@ced-ol.com <br /> AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct, Alt provisions of laws and ordinances governing this type <br /> of work will be comp-toted 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 1 <br /> comply with the State Contractors Law 18.27 ROW and 296.200 WAG, <br /> City of Everett Official Use Only <br /> ( PERMIT# <br /> ,,,--- <br /> , <br /> ā€ž,. Lā€ž... .. <br /> Own Authorize Agent Signature\ Date (Revised 9/23/2016) <br /> ',.., <br />