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ELECTRICAL PERMIT APPLICATION <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 I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2615 WEST CASINO ROAD STE 51, EVERETT 98204 <br /> BUILDING AREA(if residential,new construction,remodel,or addition)900 SF <br /> BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED El DUPLEX ❑MULTI-FAMILY-#OF UNITS: ®COMMERCIAL <br /> USE OF BUILDING: Office& Shipping. <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 825.00 <br /> NUMBER OF DEVICES if low voltage): <br /> FIRE ALARM? ❑YES ®NO <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: INSTALLATION OF 1 DEDICATED 50A 208V SINGLE PHASE CIRCUIT AND CONNECTION <br /> FOR A BATTERY CHARGER. INSTALL CIRCUITRY&CONNECTION TO A FAN. <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME ff Commercial):Andpak Inc. <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: TRI-NAR, INC <br /> CONTRACTOR ADDRESS: STREET PO BOX 1661, WOODINVILLE, WA 98072 <br /> CRY STATE ZIP <br /> CONTRACTOR PHONE: 425-402-0408 CONTRACTOR EMAIL: joe@tri-nar.com <br /> CONTRACTOR LIC.#(REQUIRE[)): TRINAI-132KH CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 050125 <br /> PRIMARY CONTACT: ❑OWNER 14 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-387-0080 <br /> JOE GATH CONTACT EMAIL:joe@tri-nar.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 /> E <br /> er/Authorized Agent Signature Date (Revised 9/23/2016) <br />