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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps©everettwa.gov I www.everettwa.gov/permits <br /> < 1(4Q PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3500'Rucker Ave <br /> BUILDING AREA(if residential, new construction, remodel, or addition)600 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: I COMMERCIAL <br /> USE OF BUILDING: High School <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 8,000.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES m NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Disconnect equipment for mechanical system upgrade. Re-connect new equipment. <br /> CONTACT INFORMATION <br /> OWNER NAME: Everett Public Schools TENANT NAME(If Commercial): Sequoia High School <br /> OWNER MAILING ADDRESS: STREET 3900 Broadway Avenue <br /> „Ty Everrett STATE WA ZIP 98201 <br /> OWNER PHONE: 425-385-4000 OWNER EMAIL: <br /> CONTRACTOR NAME: Ashford Electric & Construction <br /> CONTRACTOR ADDRESS: STREET 909 Kirkland Avenue <br /> c,Ty Kirkland STATE WA ZIP 98033 <br /> CONTRACTOR PHONE: 425-889-1486 CONTRACTOR EMAIL: michael C@( ashfordelectric.com <br /> CONTRACTOR LIC.#(REQUIRED): ASHFOEC147QC CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 38879 <br /> PRIMARY CONTACT: ❑ OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-786-0664 <br /> Michael Ashford CONTACT EMAIL: michael©ashfordelectric.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 /> n�Authorized Agent Signature Dat Revised 9/23/2016 <br />