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gir 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 1 (E) everetteps@everettwa.gov i www.everettwa.gov/permits <br /> PROJECT ADDRESS: 6133 Lake Chaplain Road, Sultan,WA. 98294 <br /> BUILDING AREA(if residential, new construction, remodel,or addition)672 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ®COMMERCIAL <br /> USE OF BUILDING: Water Pump Station /Treatment Facility <br /> �t. 11_ C.p 4T IeTOATPL1t±` Q` INFO A 1 '7I �.4 F , <br /> &St"'"c`.!��� .'"S ,.�. ��a�(s+e`x� .� ..aza'nwza. �+w..v�aa�.e��x. , �.� A>�Wf. unss��rBe.® � .ez•'. �'�N;�r.. �� do��1�� AN <br /> CONTRACT PRICE OF WORK: $ 128,000 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES m NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Install new pump skid, MCC, and replace lighting with LED <br /> CONTACT INFORMATION - <br /> OWNER NAME: City of Everett Public Works TENANT NAME(If Commercial): Same <br /> OWNER MAILING ADDRESS: STREET 3200 Cedar Street <br /> clrr Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 425-257-8800 OWNER EMAIL: <br /> CONTRACTOR NAME: Ashford Electric <br /> CONTRACTOR ADDRESS: STREET 909 Kirkland Avenue <br /> c,T. Kirkland STATE WA ZIP 98033 <br /> CONTRACTOR PHONE: 425-889-1486 CONTRACTOR EMAIL: michael@ashfordelectric.com <br /> CONTRACTOR LIC.#(REQUIRED): ASHFOEC147QC CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 38879 <br /> PRIMARY CONTACT: 0 OWNER IZI CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-786-0664 <br /> Michael Ashford CONTACT EMAIL: michael@ashfordelectric.com <br /> AGREEMENT:1 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 1 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> / <br /> /��6(.5 E 1B \-.1D1 <br /> Owner/ uthorized Agent Siate (Revised 9/23/2016) <br />