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0 <br /> ELECTRICAL PERMIT AP*ICATION <br /> 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.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 6201 Associated Blvd Suite 103 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Office/Manufacturing <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 66,106.0 <br /> NUMBER OF DEVICES (if low voltage): Non <br /> FIRE ALARM? ❑YES FrINO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: Install necessary equipment connections for small manufacturing area. <br /> Office lighting and receptacles for 2,700 sq ft office area. Install 2- 200A 480V feeders and panels. <br /> CONTACT INFORMATION <br /> OWNER NAME: UG 62, LLC TENANT NAME(If Commercial): JDS <br /> OWNER MAILING ADDRESS: STREET 4210 132nd Ave NE <br /> ,,T., Bellevue STATE WA Z,P 98005 <br /> OWNER PHONE: 425-881-2113 OWNER EMAIL: davld@ug-dev.com <br /> CONTRACTOR NAME: Associated Electric <br /> CONTRACTOR ADDRESS: STREET PO BOX 280 <br /> CITY Snohomish STATE WA ZIP 98291 <br /> CONTRACTOR PHONE: 425-334-1955 CONTRACTOR EMAIL: banderson@associatedelectric.net <br /> CONTRACTOR LIC.#(REQUIRED): EC ASSOCECO88NL CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 025969 <br /> PRIMARY CONTACT: ❑OWNER 2 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-334-1955 <br /> Brent L Anderson CONTACT EMAIL: banderson@associatedelectric.net <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 /> /ZZ 3 <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />