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RECTRICAL PERMIT AP LICATION <br /> Oren_ 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: 2939 Colby Avenue , Everett , WA 98201 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) • SF <br /> BUILDING TYPE: 0 SFR-DETACHED ❑ SFR-ATTACHED ❑•DUPLEX ❑ MULTI-FAMILY-#OF UNITS: %]'COMMERCIAL <br /> USE OF BUILDING: Museum <br /> ELECTRICAL APPLICATION INFORMATION' <br /> CONTRACT PRICE OF WORK: $, 82 , 870 , 00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑ YES IT] NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OFWORKProvide materials , labor & equipment fox electrical per plans <br /> & specifications T <br /> • CONTACT INFORMATION <br /> OWNER NAME: Everett <br /> Museum of History TENANT NAME(If Commercial): •54!`7:e <br /> OWNER MAILING ADDRESS: STREET 293 9 Colby Avenue <br /> CITY Everett STATE WA zip 98201 <br /> OWNER PHONE: 4 2 5-2 5 8-10 0 6 OWNER EMAIL: <br /> CONTRACTOR NAME: United Electric Contractors, Inc, <br /> CONTRACTOR ADDRESS: STREET 5301 South 2nd Avenue <br /> CITY STATE STATE WA Zip 98203-4112 <br /> CONTRACTOR PHONE: 425-252-7811 CONTRACTOR EMAIL: unitedelectric@comcast.net <br /> CONTRACTOR LIC.#(REQUIRED): UNITEEC 176 M6 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 019434 <br /> PRIMARY CONTACT: ❑ OWNER KI CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: Dave Hammer, Principal CONTACT PHONE: 425-252-7811 <br /> CONTACT EMAIL: unitedelectric@comcast.net <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 /> - g3 <br /> PERMIT# <br /> E Diu - DO9 <br /> Owner/Authorized Agent Signature Date • (Revised 10/12/2015) <br />