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grr ECTRICAL PERMIT APICATION <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 I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 6101 ASSOCIATED BLVD, SUITE 101 <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: ®COMMERCIAL <br /> USE OF BUILDING: MIRRORS WITH ELECTRICAL MANUFACTURING <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 5000 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: NEW CIRCUITS FOR PAINT BOOTH & CORNERING MACHINE <br /> CONTACT INFORMATION <br /> OWNER NAME: ELECRIC MIRROR TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 6101 ASSOCIATED BLVD, STE 101 <br /> c,n. EVERETT STATE WA zip 98203 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: EYLANDER SALES & SERVICE <br /> CONTRACTOR ADDRESS: STREET 3601 EVERETT AVE <br /> c,n, EVERETT STATE WA ZIP 98201 <br /> CONTRACTOR PHONE: 425.259.2161 CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): EYLANSS142LP CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 016363 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR IO OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.231.2275 <br /> JOHN DR OTHER EYLANDER CONTACT EMAIL: <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/am authorized by the owner of this properly 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 /> / D _ E Ke)(0 I'll <br /> O er uthorized A•'nt Signature Date (Revised 9/23/2016) <br />