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•E <br /> ELECTRICAL MIT Apa/Li ATTI-_. <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)-everettepsgoverettwagov[ ev ret gov/pert is <br /> ,,pp <br /> TROJECT SITE INFORMATION <br /> atrc <br /> PROJECT ADDRESS: RESERVE AT RENTON-SR ARTS 8920 EVERGREEN WAY,EVERETT,WA 98204 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) N/A SF <br /> BUILDING TYPE: 0 SFR-DETACHED Li SFR-ATTACHED D DUPLEX 0 MULTI-FAMILY-#OP UNITS: X.COMMERCIAL. <br /> USE OF BUILDING: EXISTING MULTI-FAMILY APARTMENT BUILDING, <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 1450.001 <br /> NUMBER OF DEVICES(if low voIta ): 2 <br /> FIRE ALARM? t YES D NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): N/A <br /> DESCRIPTION OF WORK: ELECTRICAL.IMODIFICATIONS IN EXI TINGSPACE FOR NEVV FITNESS STUDIO. WORK <br /> ,.LIMITED TO ADDING(2)120V OUTLETS,INSTALLING(1)CA I`re CABLE&(1)FI MI CABLE FOR FUTURE TV ANIS <br /> CONTACT INFORMATION <br /> OWNER NAME: RESERVE AT EVERETT PARTNERS,LLLP TENANT NAME(If Commercial): RESERVE AT EVERETT APTS <br /> OWNER MAILING ADDRESS: STREET 3424 VIA PORTO,SUITE 201 <br /> env NEWPORT BEACH STATE CA OP 92663 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: EXPRESS ELECTRIC,INC; <br /> CONTRACTOR ADDRESS STREET 1354 PACIFIC PLACE,UNIT 101 <br /> CRY FERNDALE $TATE WA zip 98248 <br /> CONTRACTOR PHONE: 360.671-0113 CONTRACTOR EMAIL: brier ra xpressoISCttic. +rri <br /> CONTRACTOR L.IC.#(REQUIRED): EXPREE106501 CITY OF EVERETT BUSINESS LIC.#(REQUIRED) 052642 <br /> PRIMARY CONTACT: D OWNER X.CONTRACTOR D OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 360-920-6364 <br /> BRIAN MILLER CONTACT EMAIL: I tient expres electrl cvrrs <br /> AGREEMENT:T hereby certify that t have read and examined this application and know the same to be!amend correct. All provisions of laws and ordinances governing this <br /> type of wrOM wbfk w,!lbe completed whether specffledhere'n or not The granting of apermit does not presume to give authortly to violate or cancel the provisions of any other state or <br /> focal fhW regulating conelwbltan:or.the performance&construction, That f.am authorized by the owner et this property-0 perform the work far which epplicstien Is made and! <br /> comply With the State Contractors Law 18.27 RCWar4.298.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> 4 <br /> PERMIT## <br /> Signature pate i` (Revised 10/1212015 <br /> Ciwner/Autt�orize�lAgent Sign <br /> fi <br />