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•ECTRICAL PERMIT A•LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 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/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 1330 Rockerfeller Ave., Floor 3, Everett, WA 98201 <br /> BUILDING AREA(if residential, new construction, remodel,or addition) 10,125 SF <br /> BUILDING TYPE: ❑ SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ $239,258.00 <br /> NUMBER OF DEVICES (if low voltage): 63 <br /> FIRE ALARM? BiieYES ❑NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Renovation of the entire 3rd floor. Prove power, lighting <br /> and low voltage for a medical office building. Remove and <br /> relocate VAV boxes . Add 75KVA transformer & 225A panels . <br /> CONTACT INFORMATION <br /> OWNER NAME: Providence Health & Services TENANT NAME(If Commercial): SAME <br /> OWNER MAILING ADDRESS: STREET 1321 Colby Avenue <br /> CITY Everett STATE WA ZIP 98206 <br /> OWNER PHONE: 425.261.4558 OWNER EMAIL: <br /> CONTRACTOR NAME: Precision Electric Group, Inc. <br /> CONTRACTOR ADDRESS: STREET 15323 NE 90th St. <br /> CITY Redmond STATE WA ZIP 98052 <br /> CONTRACTOR PHONE: 425.823.8600 CONTRACTOR EMAIL: justint@pegiinc.com <br /> CONTRACTOR LIC.#(REQUIRED): PREC IEG9 6 9PH CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 047780 <br /> PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206.948.9803 <br /> Justin Taylor CONTACT EMAIL: just int @pegiinc.corn <br /> AGREEMENT:T 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 <br /> type 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 /> FEE <br /> PERMIT# <br /> (o c40 z o t L E 1 UO(p— O36 <br /> Own= /Autho, - gent Signature Dat: (Revised 10/12/2015) <br />