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LLECTRICAL PERMIT JtLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET; EVERETT, WA 98201 <br /> (P) 425-257-8810 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I WWW.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3200 Cedar Street, Everett, WA, 98201 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) S <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ® COMMERCIAL <br /> uSE OF BUILDING: City Of Everett, Dept- f Transportation <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: 1,200.00 <br /> NUMBER OF DEVICES if low v to e : <br /> FIRE ALARM? ❑YES ZINO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: Installation of a electric vehicle charging station (1 Circuit)will be performed on property and electrical room. <br /> CONTACT INFORMATION <br /> OWNER NAME: City Of Everett,Transportation Services Motor Vehicle Division TENANT NAME(If Commercial): TonY°adam d,(QyofEvarett,Trenspo—nSr—,Mo Vrhr,D,—n.) <br /> OWNER MAILING ADDRESS: STReET 3200 Cedar Street <br /> clTv Everett STATE WA ziP 98201 <br /> OWNER PHONE: (425) 257-8920 OWNER EMAIL: tcademartl@everettwa.gov <br /> CONTRACTOR NAME: Puget Sound Solar <br /> CONTRACTOR ADDRESS: STREET 805 Rainier Ave S <br /> CITY Seattle STATE WA zip 98144 <br /> CONTRACTOR PHONE: 206-706-1931 CONTRACTOR EMAIL: CJOhanning@pugetsoundsolar.CO <br /> CONTRACTOR LIC.#(REQUIRED): PUgetSS920rh CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 049544 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-218-6766 <br /> Chris Johanning CONTACT EMAIL: cjohanning@pugetsoundsolar.com <br /> AGREEMENT.1 hereby certify that 1 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 I <br /> comply with the State Contractors Law 18,27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> Digitally signed by Chris Johanning <br /> g DN: =Fuget50und5olar, <br /> Chris Johannin <br /> 1ema0l1l=7.03.0214:30.31-08'000'undsolar,c=US <br /> 03-02-1 7 <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />