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i <br /> ELECTRICAL PERMIT AP�L CATI�N <br /> CITY OF EVERE7T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (p}425-257-8810 j FAX 423-25?-8857 � {E}everetteps@everettw�a.gov j www.everettwa.gavlpermits <br /> � PROJ�CT�SIT� INF�RMATtON ' <br /> PROJECTADDRESS:�O'Ever �-een Way Everett, WA 98203 <br /> BUILDING AiZEA(if residentiat,new constructian,remodel,ar addttion) SF <br /> BUILDING TYPE: �SFR DETACHED C]5FR-J�7TACF{ED L7 DUPLEX ❑MULTI-FAMIlY-#OF!JN[TS: 0 COMMERCIAI. <br /> USE OF BUILbING: Retail food sales <br /> ELLCTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:� ���e and material con#ract <br /> NUMBER OF DEVICES if low volta e : six <br /> FlRE ALARM� �YES �NO <br /> ASSOCIATED BUILDING i'ERMIT# if a 1lcable: N/A <br /> DESCRIP1'ION OF WORK: �-ow Valtage -Install stx CAT5e d�ta cables with RJ45 terminations origirtating at network rack in <br /> back office and connec#ing to hubs in the dining room and frorrt counter areas. <br /> CONTACT INFORMATION <br /> OWNER NAMEs McDonalds of Washin ton TENANT NAME If Comrt�rcial: <br /> OWNER MAILING ADDRESS: s���T 260U Corparate Exchange Dr#3� <br /> �Fn• Columbus �A� OH z�a 43239 <br /> Wl�IER PHONE: ��4'6$2-1253 OWNER EMAIL: mdolfen�aol.com <br /> o�r�►cToa wan�e: Q Generation Electric LLC <br /> ONTRACTCR ADDRES$: s�EEt 2512 S King St <br /> � �m, S88if18 srA� WA vp 98144 <br /> aN?RACTOR PHONE: 2fl6-755-Q7a9 CONTRACTQR EIIRWL: deb electric.cam <br /> ONTRACTOR LIC.�t��Qu�a�Q�: QGENEGE8364J � CITY OF EYERETT BUSINESS L{C.#(REQUIftED:applied for <br /> PWMARY CONTACT: C7 OWNER Rl CANTRACT�R �OTHER(Piease Speaify) <br /> CQNfAGT NAME: • CONTACT I>HONE; 20�,.7��.Q2Q� <br /> Deborah McGowan coNracr�a�:de qge[ectric.com <br /> AGREEME►VT.•!hereby oertily that!have read end examined this epplir,ation and w+ow tAe same to 6e true a�rd cor�ect A!lprovlsions of/aws and ordteances yoverMny thls type <br /> of work w!1!be�mpleted whether spec�fled herein arnot The granHng af a peim#doe.s»a�p»s�rme to Qivs e+dhoHt}'to vlo/ate or cance!fhe provisJo»s of any otlrer�ate or <br /> 1oca1�aw requletinp conatrucUon or the Aertbmrancs of canstruexton. That!am author�eed 6y ffie owner o(thls properbr to pertbrrn the warh for whtch application is made artd 1 <br /> pomply wlth Hre Sfate Contractas Law 98.27 RCW artd 29s,200 WaC. <br /> C1ty of Eveiatt Of�idal Use Onty <br /> ��. <br /> t PERMIT# <br /> �J - �_ �_� E <br /> OwnaMAuthori�d Agent 8ignaWre Date (Revi�d 9/73120f6) <br />