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0 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 j FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www,everettwa.govipermits <br />PROJECT SITE INFORMATiON <br />PROJECT ADDRESS: 3003 West Casino Road, Building 40-87 2-1 <br />BUILDING AREA (if residential, new construction, remodel, or addition) 900 -SF 4"L Lr� 3 E <br />BUILDING TYPE: El SFR-DETACHED 11 SFR-ATTACHED 11 DUPLEX 0 MULTI -FAMILY - # OF UNITS: 0 COMMERCIAL <br />RUSE OF BUILDING: Commercial office space I <br />ELECTRICAL APPLICATION INFORMATION <br />CONTRACT PRICE OF WORK. $ 25,305 <br />NUMBER OF DEVICES (if low voltage): 30 <br />FIRE ALARM? CI YES 0 No <br />ASSOCIATED BUILDING PERMIT # W applicable) <br />DESCRIPTION OF WORK: Install owner furnished audio-visual equipment in a conference room. Includes two <br />ceiling mounted projectors, seven table microphones, twelve speakers and two ceiling microphones. Pull & terminate <br />plenum rated low voltage wire as necessary. <br />CONTACT INFORMATION <br />OWNER NAME: Boeing TENANT NAME if Commercial): Boeing <br />OWNER MAILING ADDRESS: STREET PO Box 2404 <br />Seattle s,ATE WA <br />zip 98056 <br />OWNER PHONE: 7OWNER EMAIL: <br />CONTRACTOR NAME: Blue Sky Integrated Technologies <br />CONTRACTOR ADDRESS: ITIIET3315 South 116th Street, Suite 121 <br />,,T, Tukwila STATE WA <br />98168 <br />CONTRACTOR PHONE.. 206-957-5100 CONTRACTOR EMAIL: info@blueskyiti.com <br />CONTRACTOR LIC. #{REQUJRED); BLUESS1932LM <br />ICITY OF EVERETT BUSINESS LIC. #(REQUIWD):(D <br />PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR r7I OTHER (Please Specify) <br />CONTACT NAME. <br />Pill Zinck <br />ICONTACT PHONE: 206-660-6234 <br />ICONTACT EMAIL: bill.zinck@blueskyiti.com <br />AGREEMENT i hereby certify that i have read and examined this application and know the same to be true and correct Allprovsions of tatty and ordinances governing this type <br />of work wilt be completed whether specitred 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 Qfficial Use Only <br />PERMIT # <br />E 1�q - <br />(Revised 9123/2016) <br />I <br />