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0 <br /> CTRICAL 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: 2615 W. Casino Rd. <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ® COMMERCIAL <br /> USE OF BUILDING: Warhouse/office space <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 1,000 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES m NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): none <br /> DESCRIPTION OF WORK: Provide dimming for two private offices. <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): Clearwater <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Johnson Electric <br /> CONTRACTOR ADDRESS: STREET 11816 NE 116th st <br /> c,Tr Kirkland STATE WA zip 98034 <br /> CONTRACTOR PHONE: 425-821-8226 CONTRACTOR EMAIL: chrisf@Johnsonelect.Com <br /> CONTRACTOR LIC.#(REQUIRED): )ohnse1384rU CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 031435 <br /> PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-864-4077 <br /> Chris Field CONTACT EMAIL: Chrisf@Johnsonelect.com <br /> AGREEMENT./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 /> j - jo E G-1 r <br /> Ow er/Autt zed gent Signature Date (Revised 9/23/2016) <br />