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� <br />.r►�_ <br />���i1 <br />�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 />PRo�ecr an�Ress: 205 E Casino Road Suite B-6 <br />BUILDING AREA (if residential, new construction, remodel, or addition)_ 1500 SF <br />BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: IX COMMERCIAL <br />USE OF BUILDING: R@tall <br />ELECTRICAL APPLICATION INFORMATION <br />CONTRACT PRICE OF WORK: $ 1200 <br />NUMBER OF DEVICES if low volta e: <br />FIRE ALARM? ❑ YES IX NO <br />ASSOCIATED BUILDING PERMIT # if a licable : <br />DESCRIPTION OF WORK Install five owner-furnished 2x4 troffers. Install new exhaust fan and vanity <br />light in restroom. <br />CONTACT INFORMATION <br />OWNER NAME: BOb's Old Bucket LLC TENANT NAME (If Commercial): VaCallt <br />OWNER MAILING ADDRESS: srReer PO BOX ZOO9 <br />ciTv BOth211 STATE WA ziP 98041 <br />OWNER PHONE: OWNER EMAIL: <br />CONTRACTOR NAME: ZOCI(O EI@CtfIC, Inc. <br />CONTRACTOR ADDRESS: srneeT PO BOX 1 OO <br />cin, Duvall srAr� W/4 ZiP 98019 <br />CONTRACTOR PHONE: 4Z5-7$$-771 O CONTRACTOR EMAIL: kentV�ZOPkO@I2CtCIC.COfT1 <br />CONTRACTOR LIC. #(RE4UIRED): ZOCkO@11 Z1 Ok CITY OF EVERETT BUSINESS LIC. #(REQUIRED): O4H'rJZO <br />PRIMARY CONTACT: ❑ OWNER IX CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: CONTACT PHONE: 4Z 'rJ-%HS-771 O <br />Kent VanderWeide coNTacT enna�: kentvCc.�zorkoelectric.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 goveming this <br />type of work will be completed whether spec�ed herein or not. The granting of a permit does not presume fo 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 />owner/E►utnorizea Agent signature Date <br />City of Everett Official Use Only <br />FEE <br />�� ( � �-� <br />� J <br />PERMIT # <br />E 1(���� -�G 1 <br />(Revised 10/12/2015) <br />