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To: Permit Services Page 2 of 2 2016-11-18 04:55,15(GMT) 4257409470 From: jeffery E Olsen Preferred EDec Lorne <br /> ELECTRICAL PERMIT APPLICATION <br /> 4e77- CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.govypermits <br /> PROJECT ADDRESS: 1604 Hewitt Ave 6th Floor NE <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: El SFR-DETACHED 11 SFR-ATTACHED 13 DUPLEX 11 MULTI-FAMILY-#OF UNITS: M COMMERCIAL <br /> .USE OF BUILDING: Office <br /> ......... <br /> "d <br /> CONTRACT PRICE OF WORK: $ 7.00Q'00 <br /> NUMBER OF DEVICES if low voltage): <br /> FIRE ALARM? 0 YES [Z NO <br /> ASSOCIATED BUILDING PERMIT#Qf applicable): <br /> DESCRIPTION OF WORK: Branch wirin2 to new offices with convenience outlets and install client- <br /> furnished 11 Fain fixtures. <br /> tc <br /> OWNER NAME: Arthur Skotdal TENANT NAME(it Cornmerolal): Keeney <br /> OWNER MAILING ADDRESS: sTRrsr P.O. Box 5267 <br /> Everett WA 98206 <br /> OWNER PHONE: OWNER EMAIL, <br /> CONTRACTOR NAME: Preferred Electric <br /> CONTRACTOR ADDRESS, STREET P.O. Box 77120 <br /> Crry Seattle srAm WA z- 98177 <br /> CONTRACTOR PHONE: 425,5819662 - C�ONTRA�CTOREMAtL:lorne@preferredelectric.us <br /> CONTRACTOR 11-tCmEQUIRED), PREFEE1925PL CITY OF EVERETT BUSINESS LIC.#(REQUIRE2,): 047656 <br /> PRIMARY CONTACT. 0 OWNER 0 CONTRACTOR 0 OTHER(Please Spec'ily) <br /> CONTACT NAME: CONTACT PHONE: <br /> 206.730.8576 <br /> Ed Mc ower CONTACT EMAIL: ed@preferredelectric.us <br /> AGREEMENT'Thereby certify that i have read and exotnined this application and know ft sanTO 10 be tfUS andCWreCt <br /> type ofvxrk will be Compiefed whetherspec tflod herein or not The grswing of a psm*does not prawne In give authority to vlatele or cancel Ilia provistons of any arjtar state or <br /> tocal law regulaling construction or the perfixmance of conslivotiom That I ant autholyzed by the OWR&F Of#ft PrOP811Y 10 ParfOlm the work far which application Is made and I <br /> 0001plY With the State COntraclom Law 18,27 RCWand 295,200 WAC. <br /> - City cfEverott Official Use Only <br /> FEE <br /> PERMIT# <br /> 1112 !EF:�� 2 <br /> nerfAuthorized Agent Signature Date- (Revised 101I212015) <br /> (—'N <br />