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Orarr ECTRICAL PERMIT APilltICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 I (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> . PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2903 Pacific Ace tBUILDING AREA(it residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ®COMMERCIAL <br /> USE OF BUILDING: Restuarant <br /> ..:, ;ELECTRICAL APPLICATION INFORMATION <br /> ... . . .. . .. <br /> CONTRACT PRICE OF WORK:$ 4,900 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES Ii NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: (4) 120V 20A circuit for booth recpts, (6) Dining Rm Pendant Lights and(10) Bath Can Lts <br /> • <br /> -..::. : .. ..... :CONTACT INFORMATION:'.:<;: .:. :. . - : , <br /> OWNER NAME: TENANT NAME(If Commercial): Denny's <br /> OWNER MAILING ADDRESS: STREET 2903 Pacific Ave <br /> cm, Everett <br /> STATE WA ZIP 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: SeaTac Electric <br /> CONTRACTOR ADDRESS: STREET 7056 So 220th <br /> CITY Kent STATE WA zip 98032 <br /> CONTRACTOR PHONE: 253-872-5553 CONTRACTOR EMAIL: dawn.lanz@seatacelectric.com <br /> CONTRACTOR LIC.#(REQUIRED): SEATAEl077RW CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 033037 <br /> PRIMARY CONTACT: ❑OWNER ®CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253-872-5553 <br /> Dawn Lanz • CONTACT EMAIL:dawn.Ianz@seatacelectric.corn <br /> AGREEMENT:I hereby certify that!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 1 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 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> b° LAM 1,22_49 E \o, b\ \2(0 <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />