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44-77 ELECTRICAL PERMIT APPLICATION <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) everetteps@everettwa.gov i www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 1 1 01 Industry Street <br /> BUILDING AREA(if residential, new construction, remodel,or addition)67,269 SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: i21 COMMERCIAL <br /> USE OF BUILDING: Office / Warehouse / Fabrication <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 8,634.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Provide branch circuit wiring to spray booth, and mixing room. <br /> CONTACT INFORMATION <br /> OWNER NAME: Ryan Hammer TENANT NAME(If Commercial): Western Pacific Bldg. Materials <br /> OWNER MAILING ADDRESS: STREET 1101 Industry Street <br /> CITY Everett SATE Wa ZIP 98203 <br /> OWNER PHONE: 425-742-5195 OWNER EMAIL: r.hammer@gowestpac.com <br /> CONTRACTOR NAME: Tandem Electric Inc. <br /> CONTRACTOR ADDRESS: STREET 5836 South 228th Street <br /> CITY Kent STATE Wa. ZIP 98032 <br /> CONTRACTOR PHONE: 253-395-8806 CONTRACTOR EMAIL: John@tandemelectric.com <br /> CONTRACTOR LIC.#(REQUIRED): TANDEEIO44DF CITY OF EVERETT BUSINESS LIC.#(REQUIRED):032018 <br /> PRIMARY CONTACT: ❑OWNER la CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: ,CONTACT PHONE: 253-395-8806 <br /> John Reddy CONTACT EMAIL: john@tandemelectric.com <br /> AGREEMENT:I 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 type <br /> 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 /> PERMIT# <br /> .q_ <br /> E -o5 <br /> Own- •utliorized Agent Sign. .-_ Date (Revised 9/23/2016) <br />