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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 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov J www.everettwagav/permits <br /> PROJECTtS1TE ItNFO MA'I#0� <br /> PROJECT ADDRESS: 1610 West Marine View Drive <br /> BUILDING AREA(if residential,new construction,remodel,or addition)400 SF <br /> BUILDING TYPE: 0 SFR-DETACHED A SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 21 COMMERCIAL <br /> USE OF BUILDING: Electrical/Elev.' _ .. •ment room <br /> ELECT- • AteLICATIONINFORNIATION <br /> • r 1 '._ -.. ,,, P .. ,..e4,SA a'9, aL.e..EEw..,.��. Kl+ry, tea.;.' .',. .I <br /> CONTRACT PRICE OF WOR .$ 96,000' <br /> NUMBER OE DEVICES(if Ia voltage); <br /> FIRE ALARM? 0 YES ffd NO <br /> ASSOCIATED BUILDING PERMIT'##(if applicable) NA <br /> DESCRIPTION OF WORK; New service and branch circuits to supply pedestrian bridge elevator and lighting <br /> . _. . i <br /> raNTAct oiraltnnATiowk <br /> OWNER NAME:City of Everett Public Works TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 3200 Cedar Street <br /> eny Everett; STATE WA ZIP 98201 <br /> OWNER PHONE: 425 257-88011 OWNER EMAIL; everettpw@everettwa.goir <br /> CONTRACTOR NAME: Electric West <br /> CONTRACTOR ADDRESS: STREET 817 N 6th Street <br /> Guy'Mount Verenon STATE WA zi/P 3 <br /> GON'I"RACT(JR:PH(�NE. 860 419-9878 CONTRACTOR EMAIL: brurio.�a e1,eGtric-wBSt.CDm <br /> CONTRACTOR LIC.#(REQUIRED): ELECTWIO3OJ;1 CITY OF EVERETT BUSINESS LIC.#(REQUIR D) 034889 <br /> PRIMARY CONTACT: Q OWNER ®CONTRACTOR 0 OTHER(Please Specify); <br /> CONTACT NAME: CONTACT PHONE: 360 419-S37$ <br /> Bruno Padilla CONTACT EMAIL:truno@electtia-west.com <br /> AGREEMENT:I hereby certify that I have read and aim-mined this application and know the same to he 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 riot presume to give authority to violate or canoe/the provisions of any other state or <br /> local tawregtttating.construction or the performance&construction. That lam'autharfted by the owner of this property to perform the work;kr.whtch application is made and I <br /> comply with the,State Contractors Law?8.27 RCW and 296.200 WAC: <br /> City of Everett Official Use Only <br /> 4 II ie 77" <br /> PERMIT# <br /> E \ f <br /> 1112/2018 <br /> lob <br /> ner/Authorize• •gent Signature Date (Revised 9/23/2018) <br /> ff <br />