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0 0 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2 West Casino Rd <br /> BUILDING AREA(if residential, new construction,remodel,or addition) 29,860 SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ©MULTI-FAMILY-#OF UNITS: 30 ❑ COMMERCIAL <br /> USE OF BUILDING: Residential apartments <br /> ELECTRICAL APPLICATION INF'ORMAT'ION <br /> CONTRACT PRICE OF WORK: $ 100,000 <br /> NUMBER OF DEVICES if low voltage): <br /> FIRE ALARM? ❑ YES R1 NO <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: Rewire apartments units using existing service <br /> CONTACT INFORMATION <br /> OWNER NAME:Emerald Bluffs LLC TENANT NAME If Com►„ercial :The Bluffs at Evergreen <br /> OWNER MAILING ADDRESS: STREET 2 West Casino Rd <br /> CITYEverett Si h,E WA 98204 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: VALOR ELECTRIC LLC <br /> CONTRACTOR ADDRESS: sTREIT PO BOX 447 <br /> C,T,,TACOMA STATE WA z,p 98387 <br /> CONTRACTOR PHONE: 253 314-5076 CONTRACTOR EMAIL: manuela@valor-electric.com <br /> CONTRACTOR LIC.#(REQUIRED): VALOREL904NB ICITY OF EVERETT BUSINESS LIG.#(REQUIRED):055371 <br /> PRIMARY CONTACT: ❑OWNER la CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 2553 314-5076 <br /> Manuela DeHerrera CONTACT EMAIL:manuela@valor-eleetriC.Com <br /> AGREEMENT:/hereby certify that t 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 property to perform the work for which application is made and! <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> Owner/Authorized Agent Signature Date (Revised 912312016) <br />