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14L7 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 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 10200 25th Ave Se Suite 1 <br /> BUILDING AREA(if residential, new construction, remodel,or addition)1000 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Eisenhower Middle School <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 3,500 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Replace (1) existing 480 volt 800 amp circuit with (1) 480 volt 600 amp circuit. <br /> Add (2) 120 volt 20 amp circuits for heat trace and convenience GFCI outlet. <br /> CONTACT INFORMATION <br /> OWNER NAME: Everett Public School TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET PO Box 2098 <br /> Everett STATE WA zip 98213 <br /> OWNER PHONE: 425-385-4170 OWNER EMAIL: <br /> CONTRACTOR NAME: MacDonald Miller Facility Solutions <br /> CONTRACTOR ADDRESS: STREET 7707 Detroit Ave SW <br /> cm Seattle STATE WA Zr, 98106 <br /> CONTRACTOR PHONE: 206-768-4130 CONTRACTOR EMAIL: permits@macmiller.com <br /> CONTRACTOR LIC.#(REQUIRED): MACDOMF972BF CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 040665 <br /> PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-768-4130 <br /> Rachelle Hartley CONTACT EMAIL: rachelle.hartley@macmiller.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 /> 08/14/2018 E 1 ,03 <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />