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4677 LECTRICAL PERMIT illIPLICATION <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 1 www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 22 113th Place SE, Everett, WA 98208 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: El SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL <br /> USE OF BUILDING: Garage & Bedroom <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 800 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES m NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: Add 50AMP EV Charger in garage next to panel & 15AMP circuit for sauna in bedroom <br /> CONTACT INFORMATION <br /> OWNER NAME: Lynda Timothy TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 22 113th PL SE <br /> CITY Everett STATE WA ZIP 98208 <br /> OWNER PHONE: 425-501-1566 OWNER EMAIL: Lyndamt@gmail.com <br /> CONTRACTOR NAME: Electri-city, Inc. <br /> CONTRACTOR ADDRESS: STREET 12912 Beverly Park Rd <br /> CITY Mukilteo STATE WA ZIP 98275 <br /> CONTRACTOR PHONE: 425-672-6797 CONTRACTOR EMAIL: Parlsa@eleCtrl-cityinc.com <br /> CONTRACTOR LIC.#(REQUIRED): ELECTI*110BA CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 026843 <br /> PRIMARY CONTACT: ❑ OWNER VI CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-672-6797 <br /> Parisa Richardson CONTACT EMAIL: Parlsa@eleCtrl-CitylnC.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 /> 7) .;:,Z, 0 5/0 1 /1 8 E <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />