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477 ELECTRICAL PERMIT APICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> ,:. P SATE iFOI2MI1T1 " .i <br /> . r <br /> PROJECT ADDRESS: 4116 34th Ave NE Bldge B <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: El COMMERCIAL <br /> USE OF BUILDING: <br /> 100.7711 <br /> t§>E �.:.rc�►II.Ar I.r� arrll�Folnrl� e �� <br /> �':'..'.. �',��c> <br /> CONTRACT PRICE OF WORK: $ 3600 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES ®NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Install 200A meter/panel combo, Install 200A MB 3R panel at dock, reconnect existing <br /> 70A circuit to shed, 120V receptacle. Install 4-twist lock 30A receptacles at dock. <br /> ,CONTACT INFORMATION , . ; <br /> OWNER NAME: TENANT NAME(If Commercial): Talco Services <br /> OWNER MAILING ADDRESS: STREET 4116 34th Ave NE Bldge B <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 425-259-0213 OWNER EMAIL: N/A <br /> CONTRACTOR NAME: Associated Electric <br /> CONTRACTOR ADDRESS: STREET PO BOX 280 <br /> CITY Everett STATE WA ZIP 98291 <br /> CONTRACTOR PHONE: 425-334-1955 CONTRACTOR EMAIL: banderson@associatedelectric.net <br /> CONTRACTOR LIC.#(REQUIRED): ASSOCECO88NL CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 025969 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-334-1955 <br /> Brent L Anderson CONTACT EMAIL: banderson@associatedelectric.net <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 /> PiId <br /> City of Everett Official Use Only <br /> PERMIT# <br /> /i r ? E ' n5k <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />