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�.ECTRICAL PERMIT A�LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS: 2909 S@aW8)/ BIVCi. <br />BUILDING AREA (if residential, new construction, remodel, or addition) SF <br />BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: IX COMMERCIAL <br />use oF Bui�oiNc: Office/machine shop <br />ELECTRICAL APPLICATION INFORMATION <br />CONTRACT PRICE OF WORK: $ 15,300 <br />NUMBER OF DEVICES if low volta e: <br />FIRE ALARM? ❑ YES IX NO <br />ASSOCIATED BUILDING PERMIT # if a licable : <br />�EscRiPrioN oF woRK: Provide new 200a panel in Bay 3. Relocate overhead lighting in shop and <br />add four fixtures. Provide connections to PT equipment. <br />CONTACT INFORMATION <br />OWNER NAME: EXOtIC TOOI W@I(�111g TENANT NAME (If Commercial): <br />OWNER MAILING ADDRESS: s�eer 2909 Seaway Blvd. <br />�,� Everett STATE WA Z,P 98203 <br />OWNER PHONE: 425-353�3�4� owNER EMa�: steven@exotictoolwelding.00111 <br />CONTRACTOR NAME: ZOPI(O EI@Ctl'IC� Inc. <br />CONTRACTOR ADDRESS: sraeer PO BOX � OO <br />cin. Duvall STA� VIIA ZiP 98019 <br />CONTRACTOR PHONE: CONTRACTOR EMAIL: <br />coNT�ucroR uc. #�REQu�REo�: ZORKOE1121 OK CITY OF EVERETT BUSINESS LIC. #(RE4UIRED): O4$�JZO <br />PRIMARY CONTACT: ❑ OWNER IXCONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: CONTACT PHONE: 4Z�J-%SH-%%� O <br />Kent VanderWeide CONTACT EMAIL: 425-788-7730 <br />AGREEMENT.� T 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 goveming 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 peAormance of construction. That I am authorized by the owner of this property to perfoim the work for which application is made and I <br />comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br />7/26/16 <br />Owner/Authorized Agent Signature Date <br />City of Eveiett O�cia/ Use Only <br />FEE <br />� �� r��- <br />PERMIT # <br />, / <br />E �� , r <br />/ � <br />(Revised 10/12/2015) <br />