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To: Permit Services Page 2 of 2 2016-02-01 20:47:29 (GMT) 4257409777 From: Jeffery E Olsen Preferred Elec Lorne <br /> 04Lr 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 cr everettwa.gov I www.everettwa.gov/permits <br /> PROJECT :SITE INFORM ATIClt1.'•. <br /> PROJECT ADDRESS: 1122 Industry Street Everett 98203 <br /> BUILDING AREA(if residential, new construction, remodel,or addition)_.,_3q N- NSF <br /> BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS ®COMMERCIAL <br /> USE OF BUILDING: Sales & Assembly of Traffic Signals <br /> • <br /> ELECTRICAL,APRI.I.CATICI ]f I±IFL�RM��TIC1N`' <br /> CONTRACT PRICE OF WORK: $ 2,155.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? LI YES El NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: Add outlets and revise lighting & switching to add (2) new offices and (1) new <br /> nursing room. <br /> CONTACT t$F.C►RMATION <br /> OWNER NAME: M&E Everett Investments TENANT NAME(If commercial): ATP - Western <br /> OWNER MAILING ADDRESS: srrcoT 1122 Industry Street Suite C <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE: 425.347.6208 OWNER EMAIL: bbanks©mcsmgmt.com <br /> CONTRACTOR NAME: Preferred Electric <br /> CONTRACTOR ADDRESS: STREET PQ Box 77120 <br /> c v Seattle STATE WA z;r> 98177 <br /> CONTRACTOR PHONE: 425.583.9662 CONTRACTOR EMAIL: lorneApreferredelectric.us <br /> CONTRACTOR LIC.#{REQUIRED}: PREFEEI925PL CITY OF EVERETT BUSINESS LIC.#(REQUIRED):047656 <br /> PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.583.9662 <br /> Lorne Wallitner CONTACT EMAIL: lorne©preferredelectric.us <br /> AGREEMENT:T hereby certify that I,have read and exarroned this application and know the seine to be tale and correct. All provisions of laws and ordnances governing this <br /> tyue of work will be completed whether specitied herein or not. The granting of e permit does not presume to give authonly to violate or cancel the provisions of any other state or <br /> focal law regulating cons!ruchor a or the performance of construction. That f am authorized by th owner of this oropc rty to perform the work for which application is made and 1 <br /> comply with fho State Contractors Law 18.27 RCW and 296.200 1/401C. <br /> --FEE City of Everett Official Use Only <br /> FEE <br /> pPERMIT# <br /> Lorne `�'\/alI iter 1 February, 2016 E 110 Q2— OD' <br /> Owner/Authorized Agent Signature Dale (Revised 10/12/2015) <br />