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APPLICATION <br /> ELECTRICAL PERMIT <br /> CITY OF EVERETT PERMIT SERVICES <br /> 4111 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/perrnits <br /> PROJECT SITE INFORMATION -., ;: <br /> PROJECT ADDRESS: 9600 Sharon Dr, Everett, WA 98204 <br /> BUILDING AREA(if residential,new construction,remodel,or addition)3,618 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: Ll COMMERCIAL <br /> USE OF BUILDING: School / Locker room <br /> a yff} a ILI 'MPR <br /> CONTRACT PRICE OF WORK:$ ( e"! <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? D YES El NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Replace and update light fixtures and lighting controls. Add additional electrical <br /> receptacles in coach's offices. <br /> CONTACT INFORMATION <br /> OWNER NAME:Mukilteo School District TENANT NAME(If Commercial):Keith Stefanson <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: 425.356.1330 OWNER EMAIL:stefansonki@mukilteo.wednet.edu <br /> CONTRACTOR NAME:-TRZ <br /> CONTRACTOR ADDRESS: STREET <br /> ( <br /> CITY STATt ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> �7 <br /> CONTRACTOR LIC.#(REQUIRED):U,'` ' (o tJ? o 119 830 CITY OF EVERETT BUSINESS LIC.#(REQUIRED] 1 11i <br /> PRIMARY CONTACT: 12 OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.356.1330 <br /> Keith Stefanson CONTACT EMAIL:stefansonki@mukilteo.wednet.edu <br /> AGREEMENT:1 hereby certify that I have read and examined this application end 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 /> focal law regulating construction or the performance of construction. That I em 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 ROW and 296.200 WAG. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> E I ° ' 00# 06 5 <br /> Owner/Authorized Agent Signature ate / (Revised 9/23/2016) <br /> I/z <br />