3003 W CASINO RD BLDG 40-87 2023-04-19

OLECTRICAL PERMIT AOLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3003 W Casino Road, Everett, WA 98204 (Boeing Everett Site)-le...r :7 BUILDING AREA (if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI -FAMILY - # OF UNITS: ® COMMERCIAL USE OF BUILDING: Industrial/Aviation ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 49�99# i3, NUMBER OF DEVICES (if low voltage): 1< FIRE ALARM? ❑ YES Z NO ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIPTION OF WORK: Replace existing duplex receptacles with GFCI receptacles across the Boeing Everett Facility. CONTACT INFORMATION OWNER NAME: Boeing TENANT NAME (If Commercial): OWNER MAILING ADDRESS: STREET 3003 W Casino Road CITY Everett STATE WA ziP 98204 OWNER PHONE: I OWNER EMAIL: CONTRACTOR NAME: Sequoyah Electric, LLC CONTRACTOR ADDRESS: STREET 15135 NE 92nd Street CITY Redmond STATE WA ziP 98052 CONTRACTOR PHONE: 425-814-6000 CONTRACTOR EMAIL: CONTRACTOR LIC. #(REQUIRED): SEQUOEL977S9 CITY OF EVERETT BUSINESS LIC. #(REQUIR ): 40645 PRIMARY CONTACT: ❑ OWNER ® CONTRACTOR ❑ OTHER (Please Specify) 17 CONTACT NAME: Mitch Markham CONTACT PHONE: 425-766-3149 CONTACT EMAIL: mitch.markham@sequoyah.com AGREEMENT: I hereby certify that / have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this 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 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 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. 3o-4-\ 5 94rrFff7M-eTrr icta Use Only EE'k�0t2 MIT#G Sequoyah Electric, LLC/Mitch Markham 12/7/16 - J Owner/Authorized Agent Signature Date (Revised 912312016)