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OLECTRICAL PERMIT AOLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 04= 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I vwwv.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 1200 Industry St <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 29 COMMERCIAL <br /> USE OF BUILDING: Manufacturing <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 10,000.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑ YES C(NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: Replace High Bay light fixtures in manufacturing area <br /> CONTACT INFORMATION <br /> OWNER NAME: Eldorado Stone TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1200 Industry St <br /> CITY Everett STArE WA ZIP 98203 <br /> OWNER PHONE: 425-349-4107 OWNER EMAIL: <br /> CONTRACTOR NAME:Valley Electric o V-) .� <br /> CONTRACTOR ADDRESS: STREET 1100 Merrill Creek Parkway <br /> ary Everett STATE wa ziP 98203 <br /> CONTRACTOR PHONE:425-407-0832 CONTRACTOR EMAIL: scottm@velectric.com <br /> CONTRACTOR LIC.#(REQUIRED): 1(-)LL C F,�C Jy N CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: ❑ OWNER COCONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: Scott Marsh CONTACT PHONE: 425-322-7470 <br /> CONTACT EMAIL: scottm@velectric.com <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 /> PERMIT# <br /> w /Authorized Agent Signature Date (Revised 10/12/2015) <br />